Organization
ROSA I VIZCARRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA I VIZCARRA M.D. (PRESIDENT)
(210) 568-5600
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, STE 1111, SAN ANTONIO, TX 78205-2516
(210) 568-5600
(210) 568-5686
Mailing address
414 NAVARRO ST, STE 1111, SAN ANTONIO, TX 78205-2516
(210) 568-5600
(210) 568-5686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184189205
—
TX
Enumeration date
05/17/2012
Last updated
05/21/2014
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