Individual
DR. POLO ALBERTO BANUELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, SUITE 200, SAN ANTONIO, TX 78251-4498
(210) 520-7160
(210) 520-7190
Mailing address
9730 WESTOVER HILLS BLVD STE 105, SAN ANTONIO, TX 78251-4842
(210) 520-7160
(210) 520-7190
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
M9832
TX
2084N0400X
Neurology Physician
Primary
ME158919
FL
Other
Enumeration date
08/04/2008
Last updated
02/27/2023
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