Individual
DR. ARDOW RICHARD AMEDURI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4383 MEDICAL DRIVE, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-2630
Mailing address
4383 MEDICAL DRIVE, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-5992
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
E2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126256002
—
TX
05
—
126256006
—
TX
01
—
4059971
AETNA
—
Enumeration date
07/20/2006
Last updated
02/14/2020
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