Individual
DR. FRED F POORDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 CAMDEN ST STE 108, SAN ANTONIO, TX 78215
(210) 253-3426
(210) 227-6951
Mailing address
607 CAMDEN ST STE 101, SAN ANTONIO, TX 78215-2100
(210) 253-3422
(210) 581-7891
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P3952
TX
207RI0008X
Hepatology Physician
P3952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306530205
—
TX
Enumeration date
06/30/2006
Last updated
05/31/2018
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