Organization Name: | HECTOR X. SAMANIEGO, JR., M.D., P.A. |
NPI Number: | 1386823953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MICHAEL REDMOND (PRACTICE MANAGER) |
Mailing Address: | 4257 Nw Loop 410 San Antonio |
State: | TX US |
Postal Code: | 782294710 |
Phone Number: | 2107321773 |
Fax Number: | 2107320991 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H7500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |