Healthcare Provider Details

I. General information

NPI: 1902543754
Provider Name (Legal Business Name): MAGDALENE SYKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 LOUIS PASTEUR DR STE 140
SAN ANTONIO TX
78229-4534
US

IV. Provider business mailing address

12711 PATH FINDER LN
SAN ANTONIO TX
78230-1532
US

V. Phone/Fax

Practice location:
  • Phone: 210-233-7000
  • Fax:
Mailing address:
  • Phone: 409-679-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV9146
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: