Individual
MARIO ALBERTO ALCANTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BROOKLYN AVE, SUITE 150, SAN ANTONIO, TX 78212
(210) 212-4114
(210) 212-4012
Mailing address
1200 BROOKLYN AVE, SUITE 150, SAN ANTONIO, TX 78212-0000
(210) 212-4114
(210) 212-4012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M9788
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
M9788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197167301
—
TX
Enumeration date
07/07/2008
Last updated
04/01/2011
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