Individual
DR. MARISA S TADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 450-6450
Mailing address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 450-6450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
V3444
TX
2084P0804X
Child & Adolescent Psychiatry Physician
V3444
TX
Other
Enumeration date
03/26/2020
Last updated
04/28/2026
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