Individual
MR. MIGUEL EUGENIO MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7055 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 281-5585
(210) 281-4498
Mailing address
7055 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 281-5585
(210) 281-4498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 01007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0130567
DPS NUMBER
TX
Enumeration date
08/13/2005
Last updated
06/06/2025
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