Healthcare Provider Details

I. General information

NPI: 1841307915
Provider Name (Legal Business Name): SYLVIA LEAL-CASTANON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N SANTA ROSA, 3RD FL
SAN ANTONIO TX
78207
US

IV. Provider business mailing address

UTHSCSA, UTHSCSA, DEPT. OF PEDIATRICS 7703 FLOYD CURL DRIVE, MSC 7808
SAN ANTONIO TX
78229
US

V. Phone/Fax

Practice location:
  • Phone: 210-257-1400
  • Fax:
Mailing address:
  • Phone: 210-592-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ5603
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: