Macris, Demetrios N
Macris, Demetrios N is an individual health care provider with primary practice located at 718 Lexington Avenue, Suite 102 , San Antonio TX 78212-4678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Macris, Demetrios N can be contacted via phone (210) 420-8671.Contact Information
Primary practice address
718 Lexington Avenue, Suite 102
San Antonio TX 78212-4678
Phone: (210) 420-8671
Fax: (210) 899-1958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | J2667 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | J2667 | Texas |
Profile Details
| NPI number | 1801892930 |
|---|---|
| LBN Legal business name | Macris, Demetrios N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801892930 | NPPES |
| Texas | MEDICAID | 102130501 |
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