Whalio Doctors

NPI 1720342454

Personalized Prescription Physicians, LLC

Organisation Clinical Pharmacology Physician San Antonio, TX

Practice location

Address
7800 Ih 10 West Suite 612, San Antonio, TX 78230
Phone
(210) 253-9947
Mailing address
PO Box 40116, San Antonio, TX 78229-1116

Authorised official

Name
Reginald Ewesuedo
Title
Medical Director
Phone
(210) 625-1171

Registered specialties

Clinical Pharmacology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence N2069 (TX)

Registry record

NPI
1720342454
Entity type
Organization
NPI issued
27 Jun 2012
Record last updated
27 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.