Individual
DR. ALEJANDRO PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4463
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR STE 700, SAN ANTONIO, TX 78229-3327
(210) 614-1234
(210) 614-0952
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L2567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157699302
—
TX
01
—
8J8383
BCBS
TX
01
—
P00614098
MEDICARE RR
TX
Enumeration date
12/07/2005
Last updated
03/17/2018
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