Individual
AUGUSTAH JEREMIAH POUTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16264
HI
2085R0202X
Diagnostic Radiology Physician
Primary
R3945
TX
Other
Enumeration date
06/11/2010
Last updated
01/28/2026
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