Individual
DR. SERGIO VIROSLAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5400
(210) 396-5385
Mailing address
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5400
(210) 396-5385
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K1948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041763602
—
TX
01
—
2795443
CIGNA
TX
01
—
4515213
AETNA
TX
01
—
8H3633
BCBS
TX
01
—
P00015173
RAILROAD MEDICARE
TX
Enumeration date
06/12/2006
Last updated
07/21/2022
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