Individual
ADRIANA SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
630 S GENERAL MCMULLEN DR, SAN ANTONIO, TX 78237-2005
(210) 567-3274
(210) 567-2844
Mailing address
P.O. BOX 40397, SAN ANTONIO, TX 78229-3900
(210) 567-3274
(210) 567-2844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16303
TX
1223P0221X
Pediatric Dentistry
Primary
16303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090793302
—
TX
05
—
090793306
—
TX
01
—
16303
TEXAS DENTAL LICENSE
TX
Enumeration date
06/25/2006
Last updated
05/07/2024
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