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Individual

ART TONTIPLAPHOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L8535
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183012702
TX
01
8CM524
BCBS
TX
01
P00898297
RAILROAD MEDICARE
TX
01
TXB112454
MEDICARE
TX
Enumeration date
06/17/2006
Last updated
07/21/2022
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