Individual
MOISES ALEXANDER CHICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9480 HUEBNER RD, SUITE 310, SAN ANTONIO, TX 78240-1655
(210) 615-1311
(210) 615-6996
Mailing address
9480 HUEBNER RD., SUITE 310, SAN ANTONIO, TX 78240-1657
(210) 615-1311
(210) 615-6996
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
L9656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F4595
MEDICARE PTAN
TX
Enumeration date
11/16/2005
Last updated
04/12/2017
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