Individual
JUAN PABLO MARUSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 NE LOOP 410 STE 900, SAN ANTONIO, TX 78216-5831
(210) 375-7790
Mailing address
45 N.E. LOOP 410 #900, SAN ANTONIO, TX 78216
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508944117
NPI NUMBER
—
Enumeration date
11/01/2006
Last updated
07/16/2007
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