Individual
DR. FORTUNATO BANZON ABELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 SAN PEDRO AVE, STE 102, SAN ANTONIO, TX 78212-2204
(210) 737-2262
(210) 737-3940
Mailing address
3015 SAN PEDRO AVE, STE 102, SAN ANTONIO, TX 78212-2204
(210) 737-2262
(210) 737-3940
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
G6252
TX
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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