Healthcare Provider Details

I. General information

NPI: 1588995609
Provider Name (Legal Business Name): HUGO CASTANEDA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 W HOUSTON ST SUITE 310
SAN ANTONIO TX
78205-2107
US

IV. Provider business mailing address

343 W HOUSTON ST SUITE 310
SAN ANTONIO TX
78205-2107
US

V. Phone/Fax

Practice location:
  • Phone: 210-223-2601
  • Fax:
Mailing address:
  • Phone: 210-223-2601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA A RODRIGUEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 210-223-2601