Individual
DR. ROSA ISELA VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7622 LOUIS PASTEUR DR, STE 201, SAN ANTONIO, TX 78229-4037
(210) 610-3859
(210) 641-2277
Mailing address
7622 LOUIS PASTEUR DR, STE 201, SAN ANTONIO, TX 78229-4037
(210) 610-3859
(210) 641-2277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M9722
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
M9722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184189205
—
TX
01
—
315067YMVU
WNI
TX
Enumeration date
06/25/2006
Last updated
04/27/2017
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