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Dr. Preston John Panicco, DPM
Foot & Ankle Surgery Podiatrist in San Antonio, Texas
NPI 1467803064

Preston John Panicco is a Foot & Ankle Surgery Podiatrist based in San Antonio, TX and is specialized in Foot & Ankle Surgery. Preston John Panicco practices in San Antonio, TX and has the professional credentials of DPM. The NPI Number for Preston John Panicco is 1467803064 and holds a License No. 59.000613 (Texas).

The current practice location address for Preston John Panicco is 14615 San Pedro Ave Ste 160, San Antonio, TX and can be reached out via phone at 210-899-1026 and via fax at 210-490-1878. You can also correspond with Preston John Panicco through the mailing address at 8042 WURZBACH RD STE 450, SAN ANTONIO, TX - 78229-3808 (mailing address contact number: 210-761-2185).

Location: 14615 San Pedro Ave Ste 160, San Antonio, TX, 78229-3808
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Provider Profile Details
NPI Number
1467803064
Provider Name
Preston John Panicco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
14615 San Pedro Ave Ste 160, San Antonio, TX, 78229-3808
Phone Number
210-899-1026
Fax Number
210-490-1878
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11467803064 05 NV
institution
Provider Business Practice Location Address Details
Address
14615 San Pedro Ave Ste 160
City
State
Zip
78232-4364
Phone Number
210-899-1026
Fax Number
210-490-1878
person
Provider Business Mailing Address Details
Address
14615 San Pedro Ave Ste 160
City
State
Zip
78232-4364
Phone Number
210-899-1026
Fax Number
210-490-1878
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
59.000613 (Ohio)
Definition
Definition to come...
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