Individual
AMADOR J CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 E SONTERRA BLVD, SUITE 300, SAN ANTONIO, TX 78258-4098
(210) 593-1420
(210) 593-1423
Mailing address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 804-5416
(210) 678-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10733
STATE MEDICAL LICENSE
TX
Enumeration date
08/31/2016
Last updated
08/31/2016
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