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Individual

THEODORE AREVALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
UTHSCSA, DEPT. OF MEDICINE, 7703 FLOYD CURL DRIVE, RM 5.069R, SAN ANTONIO, TX 78229
(210) 567-7000

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
J3965
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036734402
CIDC
05
36734401
TX
Enumeration date
08/10/2006
Last updated
05/22/2008
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