Dr. Theodore John Cieslak
Pediatric Infectious Diseases
3851 Roger Brooke Dr Dept Of Pediatrics
Fort Sam Houston
, Texas 78234-4501
Dr. Theodore John Cieslak
Pediatric Infectious Diseases
3851 Roger Brooke Dr Dept Of Pediatrics
Fort Sam Houston
, Texas 78234-4501
(210) 916-1740
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Theodore John Cieslak
- 3646 Hunters Cliffs
- San Antonio, TX
- Zip : 78230-2054
- Fax : (210) 916-1740
- Phone : (210) 916-0707
Second Address
- Dr. Theodore John Cieslak
- 3851 Roger Brooke Dr Dept Of Pediatrics
- Fort Sam Houston, TX
- Zip : 78234-4501
- Fax : (210) 916-1740
- Phone : (210) 916-0707
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | MD-035017-E | PA |
National Provider Identifier
| NPI | 1174513212 |
|---|---|
| Provider Name | Dr. Theodore John Cieslak |
| First Address | San Antonio, TX 78230-2054 |
| Second Address | Fort Sam Houston, TX 78234-4501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 08/07/2007 |
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.