NPI 1720342454
Personalized Prescription Physicians, LLC
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
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.