Individual
DR. DEMETRIOS N MACRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 LEXINGTON AVENUE, SUITE 102, SAN ANTONIO, TX 78212-4678
(210) 420-8671
(210) 899-1958
Mailing address
718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
(210) 420-8671
(210) 899-1958
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J2667
TX
2086S0129X
Vascular Surgery Physician
Primary
J2667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102130501
—
TX
Enumeration date
06/23/2005
Last updated
06/12/2024
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