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Individual

DR. JOHN FIERROS CANALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12709 TOEPPERWEIN RD, SUITE 306, LIVE OAK, TX 78233-3258
(210) 967-0096
(210) 967-0383
Mailing address
4411 MEDICAL DR, SUITE 300, SAN ANTONIO, TX 78229-3822
(210) 614-5400
(210) 614-2413

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M3955
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190711505
TX
01
308588YR99
MEDICARE
TX
01
8DV569
BCBSTX
TX
01
P01237072
RAILROAD MEDICARE
TX
Enumeration date
08/23/2006
Last updated
07/21/2022
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