Organization
ANA T SAUCEDA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA TREVINO SAUCEDA M.D. (SOLE MEMBER)
(210) 615-8460
Entity
Organization
Contact information
Practice address
2829 BABCOCK RD STE 636, SAN ANTONIO, TX 78229-6014
(210) 615-8460
(210) 615-0406
Mailing address
2829 BABCOCK RD STE 636, SAN ANTONIO, TX 78229-6014
(210) 615-8460
(210) 615-0406
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M2077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357166301
—
TX
Enumeration date
09/29/2009
Last updated
08/23/2016
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