MEDICARE: VILMA HINES-CAESAR

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	1223G0001X	General Practice Dentistry	18046	TX

General Provider Information

NPI Number	:	1689734758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VILMA HINES-CAESAR

Provider Business Mailing Address
First Line	:	1218 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1535
Country	:	US
Telephone Number	:	210-533-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 S NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1710
Country	:	US
Telephone Number	:	210-533-9900
Fax Number	:

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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Directions to “ VILMA HINES-CAESAR ” Practice Location

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