Individual
CLINTON PIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 257-1400
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 257-1400
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
K2559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105397701
CIDC
TX
05
—
105397702
—
TX
Enumeration date
08/11/2006
Last updated
06/17/2008
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