Organization
VIRGINIA A. PITTMAN-WALLER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA ALICIA PITTMAN-WALLER MD (PRESIDENT)
(210) 826-2626
Entity
Organization
Contact information
Practice address
7959 BROADWAY ST, 602, SAN ANTONIO, TX 78209-2667
(210) 826-2626
(210) 822-4243
Mailing address
7959 BROADWAY ST, 602, SAN ANTONIO, TX 78209-2667
(210) 826-2626
(210) 822-4243
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K5666
TX
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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