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MANDIE ALICE TIBBALL SVATEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0585
TX
208M00000X
Hospitalist Physician
M0585
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175438401
TX
05
175438405
TX
01
175438406
CSHCN
TX
01
8W7649
BCBSTX
Enumeration date
04/04/2006
Last updated
10/11/2018
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