Healthcare Provider Details

I. General information

NPI: 1699957845
Provider Name (Legal Business Name): AARON J SUGALSKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N SANTA ROSA ST 8TH FLOOR
SAN ANTONIO TX
78207-3108
US

IV. Provider business mailing address

7703 FLOYD CURL DR # MC7810
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 210-704-2187
  • Fax: 210-704-3566
Mailing address:
  • Phone: 210-567-7477
  • Fax: 210-567-7466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberN1909
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: