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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