Aleli Casino Masajo in San Antonio - Pediatrics

Aleli Casino Masajo - NPI 1396912762

Aleli Casino Masajo is a Pediatrics in San Antonio, Texas. Aleli Casino Masajo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Aleli Casino Masajo is 1396912762. The last update date is 2014-12-10.

Aleli Casino Masajo's current location address is 2148 Jackson Keller Rd, San Antonio, Texas. You can contact this provider via phone number 2105010703 and fax number 2105260334. The mailing address for Aleli Casino Masajo is 2148 Jackson Keller Rd, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Aleli Casino Masajo
Address 2148 Jackson Keller Rd, San Antonio, Texas
Phone Number 2105010703
Fax Number 2105260334
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1396912762
Provider Enumeration Date 2008-05-14
Last Updated Date 2014-12-10

Provider Mailing Address Detail

Address 2148 Jackson Keller Rd
City San Antonio
State Texas (TX)
Post Code 782132722
Phone Number 2105010703
Fax Number 2105260334

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No P3769
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
314373702 TX --

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FAQs about Aleli Casino Masajo

What is the unique identifier code issued to Aleli Casino Masajo by the Centers for Medicare & Medicaid Services?

The Aleli Casino Masajo has been assigned the NPI (National Provider Identifier) 1396912762. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Aleli Casino Masajo is located?

The Aleli Casino Masajo is situated at the following address: 2148 Jackson Keller Rd, San Antonio, TX, 782132722.

What is Aleli Casino Masajo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Aleli Casino Masajo's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

When did Aleli Casino Masajo receive its 1396912762 assignment?

The Aleli Casino Masajo was assigned its 1396912762 on 2008-05-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Aleli Casino Masajo most recently updated or revised?

The information pertaining to Aleli Casino Masajo, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-10.

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