Individual
DR. REBECCA ELIZABETH FIDELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4415 CENTERVIEW, SAN ANTONIO, TX 78228-1403
(210) 363-5889
Mailing address
5804 BABCOCK RD, #360, SAN ANTONIO, TX 78240-2134
(210) 363-5889
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
L1572
TX
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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