Organization
MID TEXAS INFECTIOUS DISEASES CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOHN DEWITT (OFFICE MANAGER)
(210) 844-1687
Entity
Organization
Contact information
Practice address
8715 VILLAGE DR STE 116, SAN ANTONIO, TX 78217-5407
(210) 215-2751
Mailing address
114 AYLESBURY HILL ST, SAN ANTONIO, TX 78209-5442
(210) 844-1687
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K2151
TX
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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