Individual
DR. BRAD A. DEYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10628 CULEBRA RD, SUITE 200, SAN ANTONIO, TX 78251-1320
(210) 520-3737
Mailing address
10628 CULEBRA RD, SUITE 200, SAN ANTONIO, TX 78251-1320
(210) 520-3737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199314903
—
TX
01
—
8AN322
BCBSTX
TX
01
—
8BZ289
BCBSTX
TX
Enumeration date
06/13/2006
Last updated
07/27/2009
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