Individual
DR. VINCENT PAUL FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4025 E SOUTHCROSS BLVD STE 15, SAN ANTONIO, TX 78222-3641
(210) 610-7283
(210) 812-5938
Mailing address
402 DONALDSON AVE, SAN ANTONIO, TX 78201-4907
(210) 279-8911
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
M7972
TX
2083C0008X
Clinical Informatics Physician
M7972
TX
2083P0901X
Public Health & General Preventive Medicine Physician
M7972
TX
208D00000X
General Practice Physician
Primary
M7972
TX
Other
Enumeration date
08/01/2013
Last updated
07/16/2019
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