Organization
DIGESTIVE CARE FOR CHILDREN
Active
Other names
Pediatric Digestive Care of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO IBARGUEN-SECCHIA M.D. (PRESIDENT)
(210) 614-3100
Entity
Organization
Contact information
Practice address
109 GALLERY CIRCLE, SUITE 115, SAN ANTONIO, TX 78258
(210) 614-3100
(210) 692-7667
Mailing address
109 GALLERY CIRCLE, SUITE 115, SAN ANTONIO, TX 78258
(210) 614-3100
(210) 692-7667
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081043401
—
TX
Enumeration date
03/29/2007
Last updated
02/09/2011
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