Organization
CHARLES R CERVANTES JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R CERVANTES JR. M.D. (PRESIDENT)
(210) 923-4343
Entity
Organization
Contact information
Practice address
415 PALO ALTO RD, SAN ANTONIO, TX 78211-3742
(210) 923-4343
Mailing address
415 PALO ALTO RD, SAN ANTONIO, TX 78211-3742
(210) 923-4343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F3824
TX
Other
Enumeration date
06/14/2014
Last updated
06/14/2014
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