Organization
CHESTER E. PRUETT, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER E PRUETT M.D. (OWNER)
(210) 692-0101
Entity
Organization
Contact information
Practice address
3399 MEDICAL DR., #393, SAN ANTONIO, TX 78229-0393
(210) 692-0101
(210) 692-7615
Mailing address
3399 MEDICAL DR., #393, SAN ANTONIO, TX 78229-0393
(210) 692-0101
(210) 692-7615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SL77
BCBS
TX
01
—
G1752
STATE BOARD CERT.
TX
Enumeration date
05/17/2007
Last updated
09/11/2025
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