Debra Q Cervera, RDH
Individual provider Active NPI Dental Hygienist · Universal City, TX
NPI 1114154333 · NPPES record last updated Jun 15, 2009
Key facts
- NPI
- 1114154333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 9062 (TX)
- Practice address
- 1702 Pat Booker Rd
Universal City, TX 78148-3435 - Phone
- (210) 658-7511
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9062 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Network Provider Associates, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9062 | TX | Yes |
Addresses
Primary practice location
1702 Pat Booker Rd
Universal City, TX 78148-3435
Mailing address
7206 Tierra Bonita
San Antonio, TX 78263-3932
Phone (210) 648-5837
Other providers in Universal City, TX
- Carlos Porter, MD PA
- Carrera Optical Inc.
- Gary Carrera
- Ashlee Caseres
- Angelina Annette Cervantes
- Andrea Chavez-Arreola
- Xu Chen
- Christus Ambulatory Surgery Center at Olympia Hills LLC
- Gladys Cisneros
- Cristian Clark
All providers in Universal City, TX · Dental Hygienist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.