PAUL JOSEPH FANUCCHI

SAN ANTONIO, TX
NPI1003567447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: TX  AP108274)
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
Mr. PAUL JOSEPH FANUCCHI NP
MARIANIST RESIDENCE 520 FONDHAM
SAN ANTONIO, TX 78228-4821
Phone number: 210-434-4157
Mailing Address
Mr. PAUL JOSEPH FANUCCHI NP
MARIANIST RESIDENCE 520 FONDHAM
SAN ANTONIO, TX 78228-4821
Phone number: 210-434-4157