Individual
DR. ELIAS MATEO PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N MAIN AVE, SUITE 219, SAN ANTONIO, TX 78205-1152
(210) 227-0195
(210) 227-0196
Mailing address
730 N MAIN AVE, SUITE 219, SAN ANTONIO, TX 78205-1152
(210) 227-0195
(210) 227-0196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C7093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000R57R0-P082X6406
—
TX
Enumeration date
04/10/2007
Last updated
07/08/2007
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