Healthcare Provider Details

I. General information

NPI: 1104839810
Provider Name (Legal Business Name): ADRIANA HWA CHEEVER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-6200
US

IV. Provider business mailing address

3551 ROGER BROOKE DR.
FORT SAM HOUSTON TX
78234-6200
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-9900
  • Fax:
Mailing address:
  • Phone: 210-916-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL7688
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: