Individual
GHASSAN SALIM ISSA BANDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7578
Mailing address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T7490
TX
207RN0300X
Nephrology Physician
Primary
T7490
TX
Other
Enumeration date
08/08/2011
Last updated
09/06/2022
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