Individual
DR. TOMAS CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N MAIN, SUITE 719, SAN ANTONIO, TX 78205-1152
(210) 271-0818
Mailing address
730 N MAIN, SUITE 719, SAN ANTONIO, TX 78205-1152
(210) 271-0818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F6541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000QL64
BLUE CROSS/BLUE SHIELD
TX
05
—
120097402
—
TX
01
—
17424475170001
STATE OF TEXAS
TX
01
—
4059998
AETNA
—
01
—
742447517
TRICARE
—
Enumeration date
06/17/2006
Last updated
06/03/2014
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