MEDICARE: DR. JESUS LEAL ALMAGUER DDS

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
1	1223G0001X	General Practice Dentistry	11775	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689940546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESUS LEAL ALMAGUER DDS

Provider Business Mailing Address
First Line	:	4006 NOGALITOS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-1300
Country	:	US
Telephone Number	:	210-922-6929
Fax Number	:	210-928-1020

Provider Business Practice Location Address
First Line	:	4006 NOGALITOS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-1300
Country	:	US
Telephone Number	:	210-922-6929
Fax Number	:	210-928-1020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	03/26/2012

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