Organization
NEW WAVE ANESTHESIA MANAGMENT LLC
Active
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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