Individual
CARLOS PESTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10123 N MANTON LN, SAN ANTONIO, TX 78213-1932
(210) 344-6506
Mailing address
10123 N MANTON LN, SAN ANTONIO, TX 78213-1932
(210) 344-6506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D5150
TX
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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