Provider Demographics
NPI:1932375292
Name:DOLORES CONTRERAS URBY, M.D., P.A.
Entity Type:Organization
Organization Name:DOLORES CONTRERAS URBY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS-URBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-922-0621
Mailing Address - Street 1:2406 COMMERCIAL AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1757
Mailing Address - Country:US
Mailing Address - Phone:210-922-0621
Mailing Address - Fax:210-927-1171
Practice Address - Street 1:2406 COMMERCIAL AVE
Practice Address - Street 2:SUITE E
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1757
Practice Address - Country:US
Practice Address - Phone:210-922-0621
Practice Address - Fax:210-927-1171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4820261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty