Macris, Demetrios N

Macris, Demetrios N is an individual health care provider with primary practice located at 718 Lexington Avenue, Suite 102 , San Antonio TX 78212-4678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Macris, Demetrios N can be contacted via phone (210) 420-8671.

Contact Information

Primary practice address
718 Lexington Avenue, Suite 102 San Antonio TX 78212-4678
Fax: (210) 899-1958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J2667 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X J2667 Texas

Profile Details

NPI number 1801892930
LBN Legal business name Macris, Demetrios N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 12th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801892930 NPPES
Texas MEDICAID 102130501

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