Organization
GREATER SAN ANTONIO PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO SANTELLANA DPM (AUTHORIZED OFFICIAL/OWNER)
(210) 447-7058
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD STE 205, LIVE OAK, TX 78233-3271
(210) 978-6505
Mailing address
PO BOX 1177, CONVERSE, TX 78109-4177
(210) 447-7058
(210) 447-7120
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/01/2021
Last updated
10/03/2023
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