Individual
DR. PETER SEVERINO MUSCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
8410 DATAPOINT DR STE 150, SAN ANTONIO, TX 78229-4002
(210) 617-5300
Mailing address
8410 DATAPOINT DR STE 150, SAN ANTONIO, TX 78229-4002
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7713128-4101
UT
Other
Enumeration date
06/02/2009
Last updated
03/03/2020
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