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Pediatric Urology Of San Antonio PLLC

Urology, Pediatric Urology in San Antonio, TX. Organization (NPI-2).

NPI number1033652425
StatusActive
Last updated in NPPESDec 2, 2016

Details

NPI
1033652425
Entity type
Organization (NPI-2)
Legal business name
Pediatric Urology Of San Antonio PLLC
Organization subpart
No
Enumeration date
Dec 2, 2016
Last updated
Dec 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2088P0231X Urology, Pediatric Urology––Yes

Practice location

12446 West Ave
Ste 200
San Antonio, TX 78216-2517

Phone 210-525-1668 · Fax 210-525-1669

Mailing address

12446 West Ave
Ste 200
San Antonio, TX 78216-2517

Phone 210-525-1668 · Fax 210-525-1669

Authorized official

Juan Prieto
Partner
2105251668

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