Individual
DR. JORGE CARLOS MAGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 CAMDEN ST, STE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226745
MA
207RC0000X
Cardiovascular Disease Physician
244808
NY
207RI0011X
Interventional Cardiology Physician
Primary
P5549
TX
Other
Enumeration date
07/11/2006
Last updated
05/20/2013
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