Individual
DIANE MICHELLE PERRITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 CAMDEN ST, STE. 601, SAN ANTONIO, TX 78215-2012
(210) 233-7000
(210) 236-4110
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-6387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151537103
—
TX
Enumeration date
07/07/2005
Last updated
09/10/2025
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