Individual
DR. CHARLES R CERVANTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 PALO ALTO RD, SAN ANTONIO, TX 78211-3742
(210) 923-4343
Mailing address
415 PALO ALTO RD, SAN ANTONIO, TX 78211-3742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F3824
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
F3824
TX
Other
Enumeration date
02/28/2007
Last updated
08/17/2007
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