Individual
DR. ANA MIRIAM BALLESTER-FIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1303 MCCULLOUGH AVE, STE. 170, SAN ANTONIO, TX 78212-5609
(210) 921-3800
(210) 334-2851
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 334-2851
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H3647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H3647
LICENCE
TX
Enumeration date
08/30/2006
Last updated
01/12/2015
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