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Individual

MICHAEL J SCAVONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 738-8025
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 738-8025

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E6605
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097550002
TX
Enumeration date
06/21/2006
Last updated
07/09/2007
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