Individual
DR. ROBERT JAY MAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 525, SAN ANTONIO, TX 78212-5609
(210) 225-2769
(210) 225-7576
Mailing address
1303 MCCULLOUGH AVE, SUITE 525, SAN ANTONIO, TX 78212-5609
(210) 225-2769
(210) 225-7576
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E6134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115647301
—
TX
05
—
115647302
—
TX
Enumeration date
12/21/2005
Last updated
01/28/2009
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