Organization
KALAGA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO E. RUIZ MD (OWNER)
(210) 844-7575
Entity
Organization
Contact information
Practice address
18126 PRESTONSHIRE, SAN ANTONIO, TX 78258-4473
(210) 844-7575
(210) 493-8297
Mailing address
18126 PRESTONSHIRE, SAN ANTONIO, TX 78258-4473
(210) 844-7575
(210) 493-8297
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
K1917
TX
Other
Enumeration date
04/11/2011
Last updated
05/06/2015
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