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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