Individual
MANUEL CAMILO ENDO CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3555
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T5880
TX
207RI0200X
Infectious Disease Physician
Primary
T5880
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2017
Last updated
09/14/2022
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