Jose Enrique Arevalo in San Antonio - Endodontics
Jose Enrique Arevalo - NPI 1689872251
Jose Enrique Arevalo is a Endodontics in San Antonio, Texas. Jose Enrique Arevalo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jose Enrique Arevalo is 1689872251. The last update date is 2022-10-28.
Jose Enrique Arevalo's current location address is 1730 Sw Military Dr Ste 102, San Antonio, Texas. You can contact this provider via phone number 2106100807. The mailing address for Jose Enrique Arevalo is 1730 Sw Military Dr Ste 102, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Enrique Arevalo |
|---|---|
| Address | 1730 Sw Military Dr Ste 102, San Antonio, Texas |
| Phone Number | 2106100807 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1689872251 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2022-10-28 |
Provider Mailing Address Detail
| Address | 1730 Sw Military Dr Ste 102 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782211400 |
| Phone Number | 2106100807 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 32821 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270018516 | CA | TAX IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jose Enrique Arevalo by the Centers for Medicare & Medicaid Services?
The Jose Enrique Arevalo has been issued the NPI (National Provider Identifier) 1689872251 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jose Enrique Arevalo is physically located?
The Jose Enrique Arevalo is situated at the following address: 1730 Sw Military Dr Ste 102, San Antonio, TX 782211400.
What is the Jose Enrique Arevalo's specialty and taxonomy code?
The Jose Enrique Arevalo's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
When did Jose Enrique Arevalo receive its 1689872251 assignment?
The Jose Enrique Arevalo was assigned its 1689872251 on 2007-07-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jose Enrique Arevalo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jose Enrique Arevalo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-28.