Individual
MARIE CECILIA PERUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
88 BRIGGS AVE., SOUTHWEST DIAGNOSTIC CENTER, SUITE 110, SAN ANTONIO, TX 78224-4000
(210) 921-0902
(210) 923-8220
Mailing address
8310 TIMBER GLEN ST, SAN ANTONIO, TX 78250-4434
(210) 647-3272
(210) 647-1376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F9943
TX
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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