| Alamo Heights Periodontics Pc | |
|
7231 Broadway St San Antonio TX 78209-3701 | |
| (210) 822-7002 | |
| (210) 824-1433 |
| Full Name | Alamo Heights Periodontics Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7231 Broadway St, San Antonio, Texas |
| Authorized Official Name and Position | Monica Alana Flynn (DIRECTOR) |
| Authorized Official Contact | 2108227002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Heights Periodontics Pc 7231 Broadway St San Antonio TX 78209-3701 Ph: (210) 822-7002 | Alamo Heights Periodontics Pc 7231 Broadway St San Antonio TX 78209-3701 Ph: (210) 822-7002 |
| NPI Number | 1407062193 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407062193 | NPI | - | NPPES |
| 1360869 | Other | UNITED CONCORDIA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20683 (Texas) | Primary |
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