Provider Demographics
NPI:1619058898
Name:METERSKY, JOHN BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BERNARD
Last Name:METERSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:SUITE 810
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3919
Mailing Address - Country:US
Mailing Address - Phone:210-614-7300
Mailing Address - Fax:210-614-7313
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:SUITE 810
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-614-7300
Practice Address - Fax:210-614-7313
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL3400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1522823-01Medicare ID - Type Unspecified
TX8837BOMedicare PIN
TXH-42071Medicare UPIN