Organization
HEART CONSULTANTS OF SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A DIAZ-WIDMANN MD (PRESIDENT)
(210) 229-1980
Entity
Organization
Contact information
Practice address
1201 S MAIN ST, SUITE 209, BOERNE, TX 78006-2833
(210) 385-2624
(830) 249-1195
Mailing address
343 W HOUSTON ST, SUITE 211, SAN ANTONIO, TX 78205-2107
(210) 229-1980
(210) 229-1989
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K9050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097134304
—
TX
Enumeration date
12/26/2012
Last updated
12/26/2012
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