Provider Demographics
NPI:1194733303
Name:TERMULO, CESAR S SR (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:S
Last Name:TERMULO
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3859 E SOUTHCROSS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3531
Mailing Address - Country:US
Mailing Address - Phone:210-337-7934
Mailing Address - Fax:210-337-0831
Practice Address - Street 1:3859 E SOUTHCROSS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3531
Practice Address - Country:US
Practice Address - Phone:210-337-7934
Practice Address - Fax:210-337-0831
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD8454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000M2765Medicaid
TXC22545Medicare UPIN
TXP000M2765Medicaid