Individual
DR. AZUKA DOREEN-JANE UDOLISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N FRIO ST BLDG 1, SAN ANTONIO, TX 78207-3011
(210) 261-3750
(210) 444-1474
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1060
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S7812
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2011
Last updated
03/22/2023
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