MEDICARE: DANILO HOWLAND HOYUMPA 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	207Q00000X	Family Medicine Physician	J2091	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	TXB150720	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1538117387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANILO HOWLAND HOYUMPA MD

Provider Business Mailing Address
First Line	:	5230 DE ZAVALA RD STE 212
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1731
Country	:	US
Telephone Number	:	210-562-3125
Fax Number	:	210-562-3387

Provider Business Practice Location Address
First Line	:	5230 DE ZAVALA RD STE 212
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1731
Country	:	US
Telephone Number	:	210-562-3125
Fax Number	:	210-562-3387

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	04/11/2019

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Directions to “ DANILO HOWLAND HOYUMPA MD” Practice Location

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