Medical Center South Texas Center for Pediatric Care
NPI #1164472189 in San Antonio, Texas
Provider Information
- NPI Number
- 1164472189
- Entity Type
- Organization
- Organization Name
- Medical Center South Texas Center for Pediatric Care
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1954 E HOUSTON ST
- Address 2
- SUITE 104
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78202-2951
- Phone
- (210) 576-0533
Authorized Official
- Name
- LISA MICHELLE DALUZ
- Title
- CREDENTIALING MANAGER
- Phone
- (210) 576-0533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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