Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | N5308 | TX |
NPI | 1003007469 |
---|---|
Provider Name | Dr. Eduardo Ozuna |
First Address | Lakeway, TX 78738-1003 |
Second Address | San Antonio, TX 78217-6217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 26/12/2018 |