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Organization
MID TEXAS INFECTIOUS DISEASES CONSULTANTS PA
Active
Organization
MID TEXAS INFECTIOUS DISEASES CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOHN DEWITT (OFFICE MANAGER)
(210) 844-1687
Entity
Organization
Contact information
Practice address
8715 VILLAGE DR STE 116, SAN ANTONIO, TX 78217-5407
(210) 215-2751
Mailing address
114 AYLESBURY HILL ST, SAN ANTONIO, TX 78209-5442
(210) 844-1687
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K2151
TX
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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