Individual
TOMAS REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
3463 MAGIC DR, SAN ANTONIO, TX 78229-2973
(210) 614-8101
(210) 614-8102
Mailing address
3463 MAGIC DR, SAN ANTONIO, TX 78229-2973
(210) 614-8101
(210) 614-8102
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
157372
TX
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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