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Organization

ANA M. BALLESTER-FIALLO, M.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANA MIRIAM BALLESTER-FIALLO M.D. (M.D.)
(210) 225-1575
Entity
Organization

Contact information

Practice address
730 N MAIN AVE STE 622, SAN ANTONIO, TX 78205-1116
(210) 225-1575
(210) 225-7709
Mailing address
730 N MAIN AVE STE 622, SAN ANTONIO, TX 78205-1116
(210) 225-1575
(210) 225-7709

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H3647
LICENCE
TX
Enumeration date
09/06/2013
Last updated
09/06/2013
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