Provider Demographics
NPI:1467567172
Name:CERDA, OSCAR J (MD)
Entity Type:Individual
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First Name:OSCAR
Middle Name:J
Last Name:CERDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5410 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3554
Mailing Address - Country:US
Mailing Address - Phone:210-733-3008
Mailing Address - Fax:210-733-3002
Practice Address - Street 1:5410 FREDERICKSBURG RD
Practice Address - Street 2:SUITE 112
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3554
Practice Address - Country:US
Practice Address - Phone:210-733-3008
Practice Address - Fax:210-733-3002
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2024-01-12
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Provider Licenses
StateLicense IDTaxonomies
TXK0672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG33113Medicare UPIN