Organization
O'NEILL & ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SAM BELASCO M.D. (PRESIDENT)
(210) 223-5543
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, 125, SAN ANTONIO, TX 78212-5609
(210) 223-5543
(210) 223-6830
Mailing address
1303 MCCULLOUGH AVE, 125, SAN ANTONIO, TX 78212-5609
(210) 223-5543
(210) 223-6830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R06817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094025601
—
TX
Enumeration date
07/04/2006
Last updated
07/10/2008
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