Individual
DR. DAVID ALAN MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35073075
OH
207P00000X
Emergency Medicine Physician
Primary
Q2348
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35073075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377189
BCBS ERIE
OH
01
—
000000537084
BC/BS LUCAS COUNTY
OH
01
—
010A311840
ANTHEM BLUE CROSS/GROUP
MI
05
—
2058535
—
OH
05
—
344514001
—
TX
Enumeration date
12/29/2005
Last updated
05/28/2015
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