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Individual

PAUL V CELIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4411 MEDICAL DR, STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-4244

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J6898
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118360005
TX
01
8CM500
BCBS
TX
01
P00914967
RAILROAD MEDICARE
TX
01
TXB117844
MEDICARE
TX
Enumeration date
12/30/2005
Last updated
07/21/2022
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