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Individual

MR. CARLOS SEGURA JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-5608
(210) 916-3486
Mailing address
6022 ROYAL PT, SAN ANTONIO, TX 78239-1537
(210) 946-7332

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01616
TX

Other

Enumeration date
11/08/2005
Last updated
07/08/2007
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