Provider Demographics
NPI:1932111275
Name:TECUANHUEY, LEOPOLDO V JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEOPOLDO
Middle Name:V
Last Name:TECUANHUEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:343 W HOUSTON ST
Mailing Address - Street 2:#801
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2107
Mailing Address - Country:US
Mailing Address - Phone:210-222-2233
Mailing Address - Fax:210-475-9858
Practice Address - Street 1:343 W HOUSTON ST
Practice Address - Street 2:#801
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2107
Practice Address - Country:US
Practice Address - Phone:210-222-2233
Practice Address - Fax:210-475-9858
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXD8913208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22533Medicare UPIN