Individual
MITCHEL CAMERON FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
6002 BANTRY BAY, SAN ANTONIO, TX 78240-5721
(210) 467-7659
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13293675-1205
UT
207P00000X
Emergency Medicine Physician
T7555
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10070594
TX
Other
Enumeration date
04/22/2020
Last updated
08/23/2023
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