Individual
AUGUSTO JOSE TANJUATCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2161
(210) 699-2255
Mailing address
9219 TRAILING FERN, HELOTES, TX 78023-4269
(210) 695-1151
(210) 699-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D42513
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101049471
VA
Other
Enumeration date
10/04/2006
Last updated
09/11/2025
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