Individual
OMAR ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L4922
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L4922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168983805
—
TX
Enumeration date
09/17/2006
Last updated
02/15/2018
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