Provider Demographics
NPI:1154580769
Name:PRIETO, JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:PRIETO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5510-B PRESIDIO PARKWAY
Mailing Address - Street 2:SUITE 2206
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249
Mailing Address - Country:US
Mailing Address - Phone:210-874-3640
Mailing Address - Fax:210-874-3649
Practice Address - Street 1:5510-B PRESIDIO PARKWAY
Practice Address - Street 2:SUITE 2206
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249
Practice Address - Country:US
Practice Address - Phone:210-874-3640
Practice Address - Fax:210-874-3649
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2022-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 101254208600000X
TXN4001208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery