Organization
SANJAY MISRA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY MISRA M.D. (PHYSICIAN)
(210) 270-9999
Entity
Organization
Contact information
Practice address
315 N. SAN SABA, SUITE 1175, SAN ANTONIO, TX 78207-3155
(210) 270-9999
(210) 270-9952
Mailing address
315 N. SAN SABA, SUITE 1175, SAN ANTONIO, TX 78207-3155
(210) 270-9999
(210) 270-9952
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J2211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110641105
—
TX
Enumeration date
03/17/2008
Last updated
01/20/2010
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