Individual
CORRINNA T TIONGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9011 POTEET JOURDANTON FWY, SAN ANTONIO, TX 78224-2124
(210) 928-4900
(210) 928-4940
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3750
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1206682-01
—
TX
05
—
1206682-03
—
TX
Enumeration date
08/01/2006
Last updated
12/22/2021
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