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Individual

WILLIAM HENRY DETAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 292-5077
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 292-5077
(210) 292-7868

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
O-1494
ID
208D00000X
General Practice Physician
O-1494
ID

Other

Enumeration date
05/15/2019
Last updated
05/30/2024
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