Individual
PEDRO SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4642
(210) 222-9575
(210) 222-9531
Mailing address
910 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4642
(210) 222-9575
(210) 222-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J6238
TX
Other
Enumeration date
10/25/2006
Last updated
07/09/2007
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