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Dr. Raul M Portillo, MD
Medical Oncology Physician in San Antonio, Texas
NPI 1265473391

Raul M Portillo is a Medical Oncology Physician based in Dallas, TX and is specialized in Medical Oncology. Raul M Portillo practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Raul M Portillo is 1265473391 and holds a License No. G4193 (Texas).

The current practice location address for Raul M Portillo is 1200 Brooklyn Ave Ste 115, San Antonio, TX and can be reached out via phone at 210-224-6531 and via fax at 210-226-0402.

Location: 1200 Brooklyn Ave Ste 115, San Antonio, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265473391
Provider Name
Raul M Portillo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Brooklyn Ave Ste 115, San Antonio, TX, 75391-1230
Phone Number
210-224-6531
Fax Number
210-226-0402
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000V5772 05 NM
8R1527 01 TX BLUE CROSS OF TEXAS
123759601 05 TX
177173501 05 TX
123759602 05 TX
institution
Provider Business Practice Location Address Details
Address
1200 Brooklyn Ave Ste 115
City
San Antonio
State
Texas
Zip
78212-4815
Phone Number
210-224-6531
Fax Number
210-226-0402
person
Provider Business Mailing Address Details
Address
1200 Brooklyn Ave Ste 115
City
San Antonio
State
Texas
Zip
78212-4815
Phone Number
210-224-6531
Fax Number
210-226-0402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G4193 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
G4193 (Texas)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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