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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