MALLALAH SHIVA

SAN ANTONIO, TX
NPI1053422204
Professional NamePROFESSIONAL ASSOCIATES
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  G2619)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. MALLALAH SHIVA MD
14094 O'CONNOR RD
SAN ANTONIO, TX 78247
Phone number: 210-599-2273
Mailing Address
Dr. MALLALAH SHIVA MD
14094 O'CONNOR RD
SAN ANTONIO, TX 78247
Phone number: 210-599-2273