Individual
DR. LUIS GASTON PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N MAIN AVE, SUITE 219, SAN ANTONIO, TX 78205-1152
(210) 227-0195
(210) 227-0196
Mailing address
730 N MAIN AVE, SUITE 219, SAN ANTONIO, TX 78205-1152
(210) 227-0195
(210) 227-0196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848285
—
TX
Enumeration date
08/09/2006
Last updated
09/26/2008
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