Most Relevant Information
Provider Data
| NPI Number: | 1003344474 |
| Provider Name: | EDUARDO GONZALEZ VADELL LSA |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 17-247 |
Most Important Dates
| Enumeration Date: | 05/30/2017 |
| Last Updated: | 12/13/2019 |
Provider Practice Location
18756 STONE OAK PKWY STE 200
SAN ANTONIO
TX
782584354
Practice Location Phone/Fax
| Phone: | 2109985527 |
| Fax: | 2105798601 |
Provider Mailing Location
18756 STONE OAK PKWY STE 200
SAN ANTONIO
TX
782584354
Provider Mailing Phone/Fax
| Phone: | 2109985527 |
| Fax: | 2105798601 |