Individual
EUGENIO CERSOSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7500
(210) 358-7515
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L4288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145247603
—
TX
05
—
145247605
—
TX
01
—
145247606
CSHCN
TX
Enumeration date
08/11/2006
Last updated
04/26/2016
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