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Organization

SA CHILD NEUROLOGICAL ASSOCIATION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE L ACEVES M.D. (PRESIDENT)
(210) 816-3837
Entity
Organization

Contact information

Practice address
7254 BLANCO RD STE 104, SAN ANTONIO, TX 78216-4930
(210) 816-3837
Mailing address
7254 BLANCO RD STE 104, SAN ANTONIO, TX 78216-4930
(210) 816-3837

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
J7741
TX

Other

Enumeration date
02/28/2017
Last updated
05/09/2017
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