Healthcare Provider Details
I. General information
NPI: 1386634319
Provider Name (Legal Business Name): SAN ANTONIO INFECTIOUS DISEASES CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2005
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7940 FLOYD CURL DR STE 560
SAN ANTONIO TX
78229-3907
US
IV. Provider business mailing address
7940 FLOYD CURL DR STE 560
SAN ANTONIO TX
78229-3907
US
V. Phone/Fax
- Phone: 210-614-8100
- Fax: 210-615-7233
- Phone: 210-614-8100
- Fax: 210-615-7233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLINE
C.
DEWITT
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 210-614-8100