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NPI Code Detail

MEDICARE: AMBER ELISE RITENOUR M.D.

MEDICARE: AMBER ELISE RITENOUR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianM3729TX
22086S0129XVascular Surgery PhysicianM3729TX

General Provider Information

NPI Number : 1548289960
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ELISE RITENOUR M.D.
Provider Business Mailing Address
First Line : 603 E AMBER ST STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-2456
Country : US
Telephone Number : 210-610-7283
Fax Number : 210-812-5938
Provider Business Practice Location Address
First Line : 603 E AMBER ST STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-2456
Country : US
Telephone Number : 210-610-7283
Fax Number : 210-812-5938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 11/29/2021

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Directions to “ AMBER ELISE RITENOUR M.D.” Practice Location

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