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Individual

DR. DINA X GOYTIA-LEOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
202 W SUNSET RD # 2, SAN ANTONIO, TX 78209-2635
(210) 598-6008
Mailing address
202 W SUNSET RD # 2, SAN ANTONIO, TX 78209-2635
(210) 598-6008

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9290
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1552390-01
TX
01
8G9130
BCBS
Enumeration date
01/26/2006
Last updated
08/16/2023
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