Individual
EDUARDO MACIAS ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5282 MEDICAL DR STE 614, SAN ANTONIO, TX 78229-6115
(210) 644-4600
(210) 702-6962
Mailing address
5282 MEDICAL DR, SAN ANTONIO, TX 78229-4849
(210) 644-4600
(210) 702-6962
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
S2403
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
05/14/2026
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