Individual
MICHEAL CHARL AMIN LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4492
(210) 358-0062
Mailing address
7230 WURZBACH RD APT 205, SAN ANTONIO, TX 78240-3861
(210) 414-3435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10074485
TX
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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