| South Texas Periodontel Associates | |
|
15321 San Pedro Suite 103 San Antonio TX 78232-3700 | |
| (210) 654-7878 | |
| (210) 402-0410 |
| Full Name | South Texas Periodontel Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 15321 San Pedro, San Antonio, Texas |
| Authorized Official Name and Position | Adam Christman (OWNER) |
| Authorized Official Contact | 2106547878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Periodontel Associates 15321 San Pedro Suite 103 San Antonio TX 78232-3700 Ph: (210) 654-7878 | South Texas Periodontel Associates 15321 San Pedro Suite 103 San Antonio TX 78232-3700 Ph: (210) 654-7878 |
| NPI Number | 1740515873 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 11/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740515873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 295522 (Texas) | Primary |
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