Organization
DANIEL JUAREZ, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JUAREZ MD (EXECUTIVE OFFICER)
(210) 220-3737
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, STE. 248, SAN ANTONIO, TX 78212-5609
(210) 220-3737
(210) 220-3747
Mailing address
PO BOX 847, SAN ANTONIO, TX 78293-0847
(210) 220-3737
(210) 220-3747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027KV
BC/BS
TX
Enumeration date
09/06/2006
Last updated
08/22/2020
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