Organization
PEDIATRIC UROLOGY OF SAN ANTONIO PLLC
Active
Organization
PEDIATRIC UROLOGY OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PRIETO MD (PARTNER)
(210) 525-1668
Entity
Organization
Contact information
Practice address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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