Individual
DR. SOULEYMANE YAYA DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-4000
(210) 567-1976
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-1976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q8463
TX
207RG0100X
Gastroenterology Physician
Primary
Q8463
TX
208M00000X
Hospitalist Physician
Q8463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386653501
—
TX
01
—
386653502
CSHCN
TX
Enumeration date
05/01/2013
Last updated
02/15/2022
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