Individual
RAUL HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
526 CAMDEN ST, SAN ANTONIO, TX 78215-1924
(210) 222-2990
(210) 227-5575
Mailing address
19179 BLANCO RD, SUITE 105, BOX 403, SAN ANTONIO, TX 78258-4042
(210) 222-2990
(210) 227-5575
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028JZ
BCBS
TX
05
—
180863601
—
TX
Enumeration date
10/04/2005
Last updated
09/29/2023
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