Individual
JUAN LUIS CARRIEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS CNMT
Contact information
Practice address
623 KAMPMANN BLVD, SAN ANTONIO, TX 78201-4834
(210) 701-8987
Mailing address
623 KAMPMANN BLVD, SAN ANTONIO, TX 78201-4834
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
023457
TX
207UN0901X
Nuclear Cardiology Physician
023457
TX
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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