| |
4207 Gardendale St Ste B103, San Antonio, TX 78229-3182 | |
(210) 999-5579 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 4207 Gardendale St Ste B103, San Antonio, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598229106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4207 Gardendale St Ste B013, San Antonio, TX 78229-3182 Ph: (210) 999-5579 | 4207 Gardendale St Ste B103, San Antonio, TX 78229-3182 Ph: (210) 999-5579 |