Organization
NEW WAVE ANESTHESIA MANAGMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO BOGDAN FRATILA MD (PHYSICIAN)
(361) 288-2201
Entity
Organization
Contact information
Practice address
16170 JONES MALTSBERGER RD STE 106, SAN ANTONIO, TX 78247-3202
(361) 288-2201
(210) 210-8183
Mailing address
16170 JONES MALTSBERGER RD STE 106, SAN ANTONIO, TX 78247-3202
(361) 288-2201
(210) 399-2731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467484691
NPI DR FRATILA
TX
Enumeration date
04/23/2018
Last updated
09/20/2021
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