Individual
REGINALD EWESUEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 IH 10 W, SUITE 612, SAN ANTONIO, TX 78230-4700
(210) 625-1171
Mailing address
PO BOX 40116, SAN ANTONIO, TX 78229-1116
(210) 625-1171
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
N2069
TX
208U00000X
Clinical Pharmacology Physician
Primary
N2069
TX
Other
Enumeration date
01/11/2012
Last updated
06/22/2012
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