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Individual

CARLOS RESTREPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N4697
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180297703
TX
01
180297704
CSHCN
TX
01
8V0300
BLUE CROSS BLUE SHIELD
TX
01
P00305176
MEDICARE RAILROAD
TX
Enumeration date
08/08/2006
Last updated
02/17/2010
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