Individual
GERALDO M SIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9465 HUEBNER RD, SAN ANTONIO, TX 78240-1508
(210) 614-8800
(210) 614-8880
Mailing address
1545 BENTON WOODS, SAN ANTONIO, TX 78258-4494
(210) 408-6792
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J2337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015GN
BCBS GROUP
TX
05
—
117571306
—
TX
01
—
8B0460
BCBS TX
TX
Enumeration date
04/28/2006
Last updated
09/30/2010
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