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Individual

ANDRE JOHN OGNIBENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-5993
Mailing address
27671 RAMBLEWOOD ST, SAN ANTONIO, TX 78261-2013
(830) 980-8691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E3592
TX

Other

Enumeration date
11/02/2005
Last updated
07/08/2007
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