Individual
DR. MARIA DE LOS ANGELES SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3718
(210) 704-4520
Mailing address
315 N SAN SABA ST, STE 1003, SAN ANTONIO, TX 78207-3108
(210) 704-3718
(210) 704-4520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N2774
TX
208M00000X
Hospitalist Physician
N2774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205044503
—
TX
01
—
205044504
CSN
TX
01
—
8CS891
BCBS
TX
01
—
N2774
ST LIC
TX
Enumeration date
08/12/2008
Last updated
02/09/2015
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