Individual
DR. ADAM MICHAEL VAN DEN BOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229
(210) 541-8281
(210) 541-9123
Mailing address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
(210) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101243986
VA
208000000X
Pediatrics Physician
R5670
TX
208D00000X
General Practice Physician
0101243986
VA
208M00000X
Hospitalist Physician
Primary
R5670
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2007
Last updated
12/14/2018
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