Healthcare Provider Details

I. General information

NPI: 1164681987
Provider Name (Legal Business Name): ALEJANDRO DANIEL TRESZEZAMSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MADISON OAK DR STE 500
SAN ANTONIO TX
78258-3923
US

IV. Provider business mailing address

540 MADISON OAK DR STE 500
SAN ANTONIO TX
78258-3923
US

V. Phone/Fax

Practice location:
  • Phone: 210-402-3700
  • Fax: 210-714-5086
Mailing address:
  • Phone: 210-402-3700
  • Fax: 210-714-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberP0145
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberP0145
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: