Individual
SANJAY MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 N SAN SABA, SUITE 1175, SAN ANTONIO, TX 78207-3154
(210) 270-9999
Mailing address
315 N SAN SABA, SUITE 1175, SAN ANTONIO, TX 78207-3154
(210) 270-9999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J2211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110641105
—
TX
Enumeration date
09/26/2006
Last updated
01/13/2010
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