Vincent Matthew Antunez PA-C, MPAS

NPI 1750424784 - Physician Assistant - 363A00000X

NPI Details
NPI 1750424784
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
AMEDD STUDENT DETACHMENT
FT SAM HOUSTON TX, 78234, US
Phone (210) 916-0517
Fax
Business Location
3512 PIEDMONT PL
SCHERTZ TX, 78154-2522, US
Phone (210) 886-8455
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 1044882
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According to our database, Mr. Vincent Matthew Antunez PA-C, MPAS NPI is 1750424784, taxonomy code is 363A00000X and license number is 1044882, license state is located at North Carolina. Vincent Matthew Antunez PA-C, MPAS physically located at Amedd Student Detachment, Ft Sam Houston TX, 78234. NPI Number Vincent Matthew Antunez PA-C, MPAS has the Individual type.

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1750424784 NPI number is provided on an as is basis without warranty of any kind. 1750424784 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Matthew Antunez PA-C, MPAS are for informational purposes only.