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Pediatric Ear, Nose & Throat Institute Of South Texas
Specialist in San Antonio, Texas
NPI 1093719379

Pediatric Ear, Nose & Throat Institute Of South Texas is a Specialist based in San Antonio, TX. Pediatric Ear, Nose & Throat Institute Of South Texas practices in San Antonio, TX. The NPI Number for Pediatric Ear, Nose & Throat Institute Of South Texas is 1093719379 and holds a License No. (Texas).

The current practice location address for Pediatric Ear, Nose & Throat Institute Of South Texas is 16723 Huebner Rd, San Antonio, TX and can be reached out via phone at 210-733-4368 and via fax at 210-402-3417.

Location: 16723 Huebner Rd, San Antonio, TX, 78229-0749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093719379
Provider Name
Pediatric Ear, Nose & Throat Institute Of South Texas
Credential
Provider Entity Type
Organization
Address
16723 Huebner Rd, San Antonio, TX, 78229-0749
Phone Number
210-733-4368
Fax Number
210-402-3417
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
095065103 05 TX
095065101 01 MEDICAID TIP #
095065102 01 CIDC GROUP
institution
Provider Business Practice Location Address Details
Address
16723 Huebner Rd
City
San Antonio
State
Texas
Zip
78248-2342
Phone Number
210-733-4368
Fax Number
210-402-3417
person
Provider Business Mailing Address Details
Address
16723 Huebner Rd
City
San Antonio
State
Texas
Zip
78248-2342
Phone Number
210-733-4368
Fax Number
210-402-3417
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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