Provider Demographics
NPI:1093809428
Name:CONDE, SARA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MARIA
Last Name:CONDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4383 MEDICAL DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3307
Mailing Address - Country:US
Mailing Address - Phone:210-593-5700
Mailing Address - Fax:210-593-5992
Practice Address - Street 1:4383 MEDICAL DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3307
Practice Address - Country:US
Practice Address - Phone:210-593-5700
Practice Address - Fax:210-593-5992
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-05-27
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Provider Licenses
StateLicense IDTaxonomies
TXJ9397207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83020VOtherBLUE CROSS AND BLUE SHIEL
TX83020VOtherBLUE CROSS AND BLUE SHIEL