OrganizationActive
Pediatric Urology of San Antonio PLLC
NPI 1033652425 · Pediatric Urology Physician · San Antonio, TX
Provider details
- NPI number
- 1033652425
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Juan Prieto, Partner
Practice location
12446 West Ave
Ste 200
San Antonio, TX 78216-2517
Phone: (210) 525-1668
Fax: (210) 525-1669
Mailing address
12446 West Ave
San Antonio, TX 78216-2517
Registry dates
- Enumerated
- 2016-12-02
- Last updated
- 2016-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.