Organization
SAN ANTONIO REPRODUCTIVE ASSOCIATES PLLC
Active
Organization
SAN ANTONIO REPRODUCTIVE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MITWALLY MD, HCLD, FACOG (MEDICAL DIRECTOR)
(248) 701-4157
Entity
Organization
Contact information
Practice address
215 E QUINCY ST, ONE LEXINGTON SUITE 314, SAN ANTONIO, TX 78215-2039
(432) 580-4500
(210) 265-5665
Mailing address
122 CANDELARIA, HELOTES, TX 78023-4711
(248) 701-4157
(210) 265-5665
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
P0765
TX
Other
Enumeration date
05/20/2014
Last updated
09/04/2014
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