Organization
HERITAGE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS FITCH JR. M.D. (PRESIDENT)
(210) 826-8419
Entity
Organization
Contact information
Practice address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 824-7938
(210) 805-9523
Mailing address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 824-7938
(210) 805-9523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
08/12/2013
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