Individual
MINAS CHRYSOPOULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 641-7577
Mailing address
PO BOX 29130, SAN ANTONIO, TX 78229-0130
(210) 692-1181
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M3997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181660501
—
TX
Enumeration date
06/20/2006
Last updated
08/24/2023
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