Individual
ANTONIO ANZUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J0425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105773903
—
TX
01
—
290005225
MEDICARE RAIL ROAD
TX
Enumeration date
08/24/2006
Last updated
08/19/2010
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