Provider Demographics
NPI:1013366707
Name:ALDRETE, CHRISTIAN ALEJANDRO (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:ALEJANDRO
Last Name:ALDRETE
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:1910 S NEW BRAUNFELS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-3050
Practice Address - Country:US
Practice Address - Phone:210-532-0891
Practice Address - Fax:210-532-0717
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA10635363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant