Organization
DANA L. REISS, MD, PLLC
Active
Other names
Surgical Consultants of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BURCHETT (PROVIDER REALTIONS)
(210) 508-6214
Entity
Organization
Contact information
Practice address
9150 HUEBNER RD, 250, SAN ANTONIO, TX 78240-1558
(210) 614-9210
(210) 614-6859
Mailing address
9150 HUEBNER RD, 250, SAN ANTONIO, TX 78240-1558
(210) 614-9210
(210) 614-6859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L0538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047479302
—
TX
Enumeration date
05/07/2014
Last updated
04/09/2015
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