Individual
DR. PABLO EZEQUIEL PERGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1123 N MAIN AVE STE 120, SAN ANTONIO, TX 78212-4738
(210) 226-2001
Mailing address
16620 N US HIGHWAY 281, STE 300, SAN ANTONIO, TX 78232-2327
(210) 614-1231
(210) 616-0704
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K4772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046790403
—
TX
Enumeration date
02/23/2006
Last updated
01/21/2019
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