MEDICARE: JESUS ALFREDO VIRLAR-CADENA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	L7592	TX
2	208M00000X	Hospitalist Physician	L7592	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023115292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS ALFREDO VIRLAR-CADENA MD

Provider Business Mailing Address
First Line	:	17827 SALADO DRAW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-1602
Country	:	US
Telephone Number	:	210-625-8698
Fax Number	:	210-503-7157

Provider Business Practice Location Address
First Line	:	1302 S GENERAL MCMULLEN DR
Second Line	:	SUITE 103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-4200
Country	:	US
Telephone Number	:	210-904-8770
Fax Number	:	210-370-3745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/16/2016

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Directions to “ JESUS ALFREDO VIRLAR-CADENA MD” Practice Location

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