Individual
DR. JOSEPHINE AMALIA TAVERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD FL 4, SAN ANTONIO, TX 78229-4427
(210) 450-1143
(210) 450-0407
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-1143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.017321
OH
207RH0000X
Hematology (Internal Medicine) Physician
R5478
TX
207RX0202X
Medical Oncology Physician
Primary
R5478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378896001
—
TX
01
—
378896002
CSHCN
TX
Enumeration date
05/11/2007
Last updated
03/17/2018
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