Organization
SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC
Active
Other names
SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARLISE NEGRETTE (ACCOUNT MANAGER)
(909) 793-5511
Entity
Organization
Contact information
Practice address
4025 E SOUTHCROSS BLVD STE 7, SAN ANTONIO, TX 78222-3640
(210) 267-9229
(210) 267-8005
Mailing address
4025 E SOUTHCROSS BLVD STE 7, SAN ANTONIO, TX 78222-3640
(210) 267-9229
(210) 267-8005
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447296280
—
WA
Enumeration date
08/09/2022
Last updated
08/09/2022
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