Organization
SPECIALTY UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO V TECUANHUEY JR. M.D. (OWNER)
(210) 222-2233
Entity
Organization
Contact information
Practice address
343 W HOUSTON ST, 801, SAN ANTONIO, TX 78205-2107
(210) 222-2233
(210) 475-9858
Mailing address
343 W HOUSTON ST, 801, SAN ANTONIO, TX 78205-2107
(210) 222-2233
(210) 475-9858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083808801
—
TX
01
—
340007679
RAILROAD MEDICARE
TX
01
—
81V652
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/13/2006
Last updated
05/17/2011
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