Provider Demographics
NPI:1689940546
Name:ALMAGUER, JESUS LEAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:LEAL
Last Name:ALMAGUER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 NOGALITOS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-1300
Mailing Address - Country:US
Mailing Address - Phone:210-922-6929
Mailing Address - Fax:210-928-1020
Practice Address - Street 1:4006 NOGALITOS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-1300
Practice Address - Country:US
Practice Address - Phone:210-922-6929
Practice Address - Fax:210-928-1020
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0908576-01Medicaid