Virginia A. Pittman-waller, Md, Pa

NPI 1841302429 - Plastic Surgery - 208200000X

NPI Details
NPI 1841302429
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIRGINIA ALICIA VIRGINIA
Position PRESIDENT
Phone (210) 826-2626
Fax (210) 822-4243
Practice Location
7959 BROADWAY ST
602
SAN ANTONIO TX, 78209-2667, US
Phone (210) 826-2626
Fax (210) 822-4243
Business Location
7959 BROADWAY ST
602
SAN ANTONIO TX, 78209-2667, US
Phone (210) 826-2626
Fax (210) 822-4243
Toxanomy
Taxonomy Code 208200000X
License State Texas
License Number K5666
Remove 1841302429 NPI Number
 

According to our database, Virginia A. Pittman-waller, Md, Pa NPI is 1841302429, taxonomy code is 208200000X and license number is K5666, license state is located at Texas. Virginia A. Pittman-waller, Md, Pa physically located at 7959 Broadway St, San Antonio TX, 78209-2667. NPI Number 1033115704 has the healthcare provider type.

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1841302429 NPI number is provided on an as is basis without warranty of any kind. 1841302429 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia A. Pittman-waller, Md, Pa are for informational purposes only.