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Michelle Tavera, MD

Hospitalist in San Antonio, TX. Individual provider (NPI-1).

NPI number1467072017
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1467072017
Entity type
Individual (NPI-1)
Name
Michelle Tavera
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2020
Certification date
Sep 25, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistU6355TXYes
207Q00000X Family MedicineU6355TX

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Phone 210-358-4000 · Fax 210-358-0647

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402

Phone 210-358-4000 · Fax 210-358-0647

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