# CENTRAL TEXAS DIABETES & WELLNESS INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356951735
- **Authorized official:** JARRA GREEN-CALDERON MD (OWNER)
- **Authorized official phone:** (832) 560-0254

## Contact information

- **Practice address:** 5441 BABCOCK RD STE 203, SAN ANTONIO, TX 78240-3993
- **Practice address phone:** (210) 701-8890
- **Practice address fax:** (210) 783-8840
- **Mailing address:** 8428 BANDERA RD STE 2, SAN ANTONIO, TX 78250-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 08/30/2024