Pergola, Pablo Ezequiel

Pergola, Pablo Ezequiel is an individual health care provider with primary practice located at 1123 N Main Ave Ste 120 , San Antonio TX 78212-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pergola, Pablo Ezequiel can be contacted via phone (210) 226-2001.

Contact Information

Primary practice address
1123 N Main Ave Ste 120 San Antonio TX 78212-4738
Phone: (210) 226-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X K4772 Texas

Profile Details

NPI number 1902872765
LBN Legal business name Pergola, Pablo Ezequiel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 21st, 2019 - about 5 years 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 1902872765 NPPES
Texas MEDICAID 046790403

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