Provider Demographics
NPI:1215055017
Name:DR. LEOPOLDO TECUANHUEY
Entity type:Organization
Organization Name:DR. LEOPOLDO TECUANHUEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-438-0010
Mailing Address - Street 1:718 CUPPLES RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-4357
Mailing Address - Country:US
Mailing Address - Phone:210-438-0010
Mailing Address - Fax:210-438-0030
Practice Address - Street 1:718 CUPPLES RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-4357
Practice Address - Country:US
Practice Address - Phone:210-438-0010
Practice Address - Fax:210-438-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty