Individual
DR. DIANE INGRID HAVALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
45 NE LOOP 410, STE 900, SAN ANTONIO, TX 78216-5831
(210) 567-4506
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P9073
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2010
Last updated
03/01/2016
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