Basic Information
Provider Information
NPI: 1447426176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NENTO
FirstName: DANIEL
MiddleName: EDGARDO
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 315 N SAN SABA
Address2: 1135
City: SAN ANTONIO
State: TX
PostalCode: 782073154
CountryCode: US
TelephoneNumber: 2107043030
FaxNumber: 2107044527
Practice Location
Address1: 333 N SANTA ROSA ST
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782073108
CountryCode: US
TelephoneNumber: 2107042271
FaxNumber: 2107044576
Other Information
ProviderEnumerationDate: 05/02/2008
LastUpdateDate: 01/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202X44925TXN Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
208G00000X57.011900OHN Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 
208G00000XR2424TXY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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