Organization
SA PEDIATRIC UROLOGY
Active
Organization
SA PEDIATRIC UROLOGY
Active
Other names
Pediatric Urology of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS PRIETO MD (OWNER)
(210) 615-1600
Entity
Organization
Contact information
Practice address
4499 MEDICAL DR STE 360, SAN ANTONIO, TX 78229-3857
(210) 615-1600
(210) 615-1601
Mailing address
4499 MEDICAL DR STE 360, SAN ANTONIO, TX 78229-3857
(210) 615-1600
(210) 615-1601
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
01/12/2026
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