Individual
CELSO RAUL ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
314 E NAKOMA ST # W2, SAN ANTONIO, TX 78216-2794
(210) 404-4325
(210) 429-8160
Mailing address
314 E NAKOMA ST # W2, SAN ANTONIO, TX 78216-2794
(210) 404-4325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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