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Individual

DR. NATHAN CECAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(210) 292-5290
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236-5638
(210) 292-6225

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056531A
IN
208D00000X
General Practice Physician
01056531A
IN

Other

Enumeration date
04/20/2006
Last updated
04/20/2018
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