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Individual

DR. MICHAEL JOHN LEPESKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT DR STE 600, P. O. BOX 29441, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M9452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2182362-09
TX
05
2182362-10
TX
05
2182362-11
TX
01
M9452
TEXAS MEDICAL LICENSE
TX
01
P01451746
RAILROAD MEDICARE
TX
01
P01473743
RAILROAD MEDICARE
TX
Enumeration date
02/28/2007
Last updated
04/04/2016
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