Organization
MICROTIA CONGENITAL EAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. ARTURO BONILLA M.D. (DIRECTOR)
(210) 477-3277
Entity
Organization
Contact information
Practice address
9502 HUEBNER RD, SUITE 301, SAN ANTONIO, TX 78240-1649
(210) 477-3277
(210) 477-3278
Mailing address
PO BOX 781907, SAN ANTONIO, TX 78278-1907
(210) 477-3277
(210) 477-3278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H7913
TX
Other
Enumeration date
07/22/2006
Last updated
03/20/2012
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