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1649017534
ANDITA DWI HIDAYATI
SAN ANTONIO, TX
NPI
1649017534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX BP10087321)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
ANDITA DWI HIDAYATI MD
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-450-9100
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Mailing Address
ANDITA DWI HIDAYATI MD
145 CHAPEL HILL CIR
SAN ANTONIO, TX 78240-3977
Phone number: 210-978-4285
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