Individual
SHWETA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15102 HUEBNER RD, SAN ANTONIO, TX 78231-1739
(210) 644-2400
(210) 702-6980
Mailing address
1055 ADA ST, SAN ANTONIO, TX 78223-1703
(210) 358-5515
(210) 358-5596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2394
TX
207RN0300X
Nephrology Physician
Primary
N2394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206443802
—
TX
01
—
206443803
MEDICAID (CSHCN)
TX
Enumeration date
01/26/2007
Last updated
05/08/2026
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