Individual
DR. VINCENT AUGUST CALDAROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 250, SAN ANTONIO, TX 78229-3735
(210) 614-3565
(210) 614-3563
Mailing address
4499 MEDICAL DRIVE, SUITE 250, SAN ANTONIO, TX 78229
(210) 614-3565
(210) 614-3563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G1345
TX
208600000X
Surgery Physician
G1345
TX
208C00000X
Colon & Rectal Surgery Physician
G1345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096562601
—
TX
Enumeration date
07/13/2006
Last updated
04/30/2013
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