Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | P0145 | TX |
N | 207VG0400X | Gynecologist | P0145 | TX |
NPI | 1164681987 |
---|---|
Provider Name | Dr. Alejandro Daniel Treszezamsky |
First Address | San Antonio, TX 78217-5419 |
Second Address | San Antonio, TX 78258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 18/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
296661601 | (05) | TX |