Provider Demographics
NPI:1790874089
Name:OYARZABAL, HECTOR A (MD PA)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:A
Last Name:OYARZABAL
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1911 PLEASANTON RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1210
Mailing Address - Country:US
Mailing Address - Phone:210-924-7331
Mailing Address - Fax:210-932-3621
Practice Address - Street 1:1911 PLEASANTON RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1210
Practice Address - Country:US
Practice Address - Phone:210-924-7331
Practice Address - Fax:210-932-3621
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2010-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080476701Medicaid
TX89Z490OtherBLUECROSS & BLUE SHIELD
TX89Z490Medicare PIN
TXE96709Medicare UPIN