Individual
GITI AZMABALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 992-5298
(214) 217-1912
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185070301
—
TX
01
—
8A5415
BCBS
TX
01
—
P00409008
RAILROAD MEDICARE
TX
Enumeration date
12/05/2006
Last updated
06/04/2025
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