ANDITA DWI HIDAYATI

SAN ANTONIO, TX
NPI1649017534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  BP10087321)
Enumeration Date2024-07-09
Last Update Date2024-07-09
Business Address
ANDITA DWI HIDAYATI MD
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-450-9100
Mailing Address
ANDITA DWI HIDAYATI MD
145 CHAPEL HILL CIR
SAN ANTONIO, TX 78240-3977
Phone number: 210-978-4285