Individual
DR. THEODORE JOHN CIESLAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, DEPT OF PEDIATRICS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-0707
(210) 916-1740
Mailing address
3646 HUNTERS CLIFFS, SAN ANTONIO, TX 78230-2054
(210) 916-0707
(210) 916-1740
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD-035017-E
PA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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