MEDICARE: PABLO MARTIN FEUILLET M D P A

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	207RI0200X	Infectious Disease Physician	K5101	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0054MD	OTHER	TX	BCBS OF TX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659325215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PABLO MARTIN FEUILLET M D P A

Provider Business Mailing Address
First Line	:	13423 BLANCO RD
Second Line	:	PMB #210
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2187
Country	:	US
Telephone Number	:	210-899-1291
Fax Number	:	210-953-5196

Provider Business Practice Location Address
First Line	:	140 HEIMER RD STE 740
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5033
Country	:	US
Telephone Number	:	210-899-1291
Fax Number	:	210-953-5196

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PABLO M FEUILLET
Credential	:	MD
Telephone Number	:	210-899-1291

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	01/29/2026

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