MEDICARE: EDUARDO JESUS CAMERO 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	D9384	TX

General Provider Information

NPI Number	:	1982825071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO JESUS CAMERO MD

Provider Business Mailing Address
First Line	:	5245 WALZEM ROAD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-2122
Country	:	US
Telephone Number	:	210-979-6718
Fax Number	:	210-979-7843

Provider Business Practice Location Address
First Line	:	5245 WALZEM RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-2122
Country	:	US
Telephone Number	:	210-654-9700
Fax Number	:

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	12/04/2015

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