Individual
COLLIN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17910 BULVERDE RD, SAN ANTONIO, TX 78259-3761
(210) 906-8478
Mailing address
17910 BULVERDE RD, SAN ANTONIO, TX 78259-3761
(210) 906-8478
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
20118
CA
208D00000X
General Practice Physician
Primary
T4037
TX
363A00000X
Physician Assistant
58070
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2008
Last updated
03/24/2024
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