Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 3005 | PR |
NPI | 1003916172 |
---|---|
Provider Name | Dr. Jose F Pascual-Baralt |
First Address | San Antonio, TX 78255-1159 |
Second Address | San Antonio, TX 78255-1159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2007 |