Most Relevant Information
Provider Data
| NPI Number: | 1003072646 |
| Provider Name: | POLO ALBERTO BANUELOS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | M9832 |
Most Important Dates
| Enumeration Date: | 08/04/2008 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
11212 STATE HIGHWAY 151
MEDICAL PLAZA 1, SUITE 200
SAN ANTONIO
TX
782514498
Practice Location Phone/Fax
| Phone: | 2105207160 |
| Fax: | 2105207190 |
Provider Mailing Location
9730 WESTOVER HILLS BLVD STE 105
SAN ANTONIO
TX
782514842
Provider Mailing Phone/Fax
| Phone: | 2105207160 |
| Fax: | 2105207190 |
Suggested EMR
Neurology EMR