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Individual

DANA L REISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
9150 HUEBNER ROAD, SUITE 250, SAN ANTONIO, TX 78240-1334
(210) 614-3370
(210) 614-6859
Mailing address
9150 HUEBNER ROAD, SUITE 250, SAN ANTONIO, TX 78240-1334
(210) 614-3370
(210) 614-6859

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L0538
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47479301
TX
01
81582X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/11/2005
Last updated
05/14/2012
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