Individual
EDUARDO IBARGUEN-SECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4410 MEDICAL DR, SUITE 540, SAN ANTONIO, TX 78229-6306
(210) 575-6240
(210) 575-6280
Mailing address
4410 MEDICAL DR, SUITE 540, SAN ANTONIO, TX 78229-6306
(210) 575-6240
(210) 575-6280
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
H5572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120189907 TRAD
—
TX
05
—
120189908 CSN
—
TX
01
—
8EA036
BCBS
TX
Enumeration date
08/09/2006
Last updated
05/20/2014
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