Individual
DR. JOHN AUSTIN VIZUETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 DATAPOINT DR STE 200, SAN ANTONIO, TX 78229-3440
(210) 615-8308
Mailing address
8550 DATAPOINT DR, STE 200, SAN ANTONIO, TX 78229-3440
(210) 615-8308
(210) 615-8313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q8180
TX
207RG0100X
Gastroenterology Physician
Primary
Q8180
TX
208M00000X
Hospitalist Physician
Q8180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365681101
—
TX
01
—
365681102
CSHCN
TX
Enumeration date
05/15/2012
Last updated
01/04/2019
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