Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MT194494 | PA |
NPI | 1154633212 |
---|---|
Provider Name | Camila Londono-Obregon |
First Address | San Antonio, TX 78229-3735 |
Second Address | San Antonio, TX 78229-3735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 02/01/2014 |