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Individual

DR. CHET L NASTALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 692-7584
Mailing address
PO BOX 29130, SAN ANTONIO, TX 78229-0130
(210) 692-1181
(210) 692-7584

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K6181
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045636002
TX
Enumeration date
08/09/2005
Last updated
10/09/2007
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