Individual
RAUL ALEJANDRO PELAEZ ANTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2 DAVENTRY LN, SAN ANTONIO, TX 78257-1239
(830) 257-8484
(830) 896-5211
Mailing address
PO BOX 291286, KERRVILLE, TX 78029-1286
(830) 257-8484
(830) 896-5211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H1175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139571718
—
TX
Enumeration date
08/29/2006
Last updated
12/28/2017
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