Healthcare Provider Details

I. General information

NPI: 1922052570
Provider Name (Legal Business Name): PABLO M FEUILLET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 MEDICAL DR STE 330
SAN ANTONIO TX
78229-5805
US

IV. Provider business mailing address

13423 BLANCO RD PMB #210
SAN ANTONIO TX
78216-2187
US

V. Phone/Fax

Practice location:
  • Phone: 210-899-1291
  • Fax: 210-953-5196
Mailing address:
  • Phone: 210-899-1291
  • Fax: 210-953-5196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberK5101
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0451376
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: