Dr. Robert Jay Magnon
Dermatologist
1303 Mccullough Ave Suite 525
San Antonio
, Texas 78212-5609
Dr. Robert Jay Magnon
Dermatologist
1303 Mccullough Ave Suite 525
San Antonio
, Texas 78212-5609
(210) 225-7576
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Robert Jay Magnon
- 1303 Mccullough Ave Suite 525
- San Antonio, TX
- Zip : 78212-5609
- Fax : (210) 225-7576
- Phone : (210) 225-2769
Second Address
- Dr. Robert Jay Magnon
- 1303 Mccullough Ave Suite 525
- San Antonio, TX
- Zip : 78212-5609
- Fax : (210) 225-7576
- Phone : (210) 225-2769
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | E6134 | TX |
National Provider Identifier
| NPI | 1013993096 |
|---|---|
| Provider Name | Dr. Robert Jay Magnon |
| First Address | San Antonio, TX 78212-5609 |
| Second Address | San Antonio, TX 78212-5609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 28/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 115647301 | (05) | TX |
| 115647302 | (05) | TX |
| B24567 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.