Healthcare Provider Details

I. General information

NPI: 1841280278
Provider Name (Legal Business Name): ABCD PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19238 STONEHUE
SAN ANTONIO TX
78258-3447
US

IV. Provider business mailing address

19238 STONEHUE
SAN ANTONIO TX
78258-3447
US

V. Phone/Fax

Practice location:
  • Phone: 210-494-2223
  • Fax: 210-494-6516
Mailing address:
  • Phone: 210-494-2223
  • Fax: 210-494-6516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD T SCHLOSBERG IV
Title or Position: PRESIDENT
Credential: MD
Phone: 210-494-2223