Individual
JUAN E CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
207 E. EVERGREEN ST., SAN ANTONIO, TX 78218
(210) 223-3543
(210) 924-1374
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 227-0282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2834
TX
Other
Enumeration date
07/01/2009
Last updated
10/15/2024
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