Organization
DOWNTOWN SOUTH TEXAS CENTER FOR PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DALUZ (CREDENTIALING MANAGER)
(210) 576-0533
Entity
Organization
Contact information
Practice address
1954 E HOUSTON ST, SUITE 104, SAN ANTONIO, TX 78202-2951
(210) 227-2100
(210) 227-1915
Mailing address
1954 E HOUSTON ST, SUITE 104, SAN ANTONIO, TX 78202-2951
(210) 227-2100
(210) 227-1915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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