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Walter W. Root, M.d.p.a
Specialist in San Antonio, Texas
NPI 1588804637

Walter W. Root, M.d.p.a is a Specialist based in San Antonio, TX. Walter W. Root, M.d.p.a practices in San Antonio, TX. The NPI Number for Walter W. Root, M.d.p.a is 1588804637 and holds a License No. M6366 (Texas).

The current practice location address for Walter W. Root, M.d.p.a is 4242 Medical Dr, San Antonio, TX and can be reached out via phone at 210-614-8400 and via fax at 210-614-8165.

Location: 4242 Medical Dr, San Antonio, TX, 78229-5640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588804637
Provider Name
Walter W. Root, M.d.p.a
Credential
Provider Entity Type
Organization
Address
4242 Medical Dr, San Antonio, TX, 78229-5640
Phone Number
210-614-8400
Fax Number
210-614-8165
Provider Enumeration Date
03/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 TX
institution
Provider Business Practice Location Address Details
Address
4242 Medical Dr
City
San Antonio
State
Texas
Zip
78229-5640
Phone Number
210-614-8400
Fax Number
210-614-8165
person
Provider Business Mailing Address Details
Address
4242 Medical Dr
City
San Antonio
State
Texas
Zip
78229-5640
Phone Number
210-614-8400
Fax Number
210-614-8165
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M6366 (Texas)
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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