Individual
MR. JOSE LUIS DE LA CERDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9020
(210) 450-4962
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349060901
—
TX
Enumeration date
09/07/2010
Last updated
10/16/2015
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