NPI 1104483395

Christian Mesa, CCP

Practitioner Perfusionist San Antonio, TX

Practice location

Address: 14603 Huebner Rd STE 28101, San Antonio, TX 78230-5497
Phone: (210) 614-7074

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence FPF02000105 (TX)

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Registry record

NPI: 1104483395
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2019
Record last updated: 9 Jan 2020

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.