Individual
JESSE SAUCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 PLEASANTON RD STE 203, SAN ANTONIO, TX 78221-1300
(210) 837-5159
Mailing address
2115 PLEASANTON RD STE 203, SAN ANTONIO, TX 78221-1300
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/13/2019
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