Individual
MR. ANDAMO A GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8715 VILLAGE DRIVE, SUITE 618, SAN ANTONIO, TX 78217
(210) 614-5600
(210) 614-8963
Mailing address
19026 STONE OAK PARKWAY, SUITE #220, SAN ANTONIO, TX 78258
(210) 614-5600
(210) 614-8963
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
K8186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030716702
—
TX
Enumeration date
11/04/2005
Last updated
03/25/2020
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