Individual
SIEGFRIED PUEBLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E SAUNDERS ST, LAREDO, TX 78041-5474
(210) 617-4445
Mailing address
6918 CAMP BULLIS RD, SAN ANTONIO, TX 78256-2236
(210) 497-0445
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J2746
TX
208D00000X
General Practice Physician
J2746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131091408
—
TX
Enumeration date
03/09/2006
Last updated
01/17/2024
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