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929 Manor Dr #5 San Antonio TX 78228-3267 | |
| (210) 732-2422 | |
| (210) 732-7042 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 929 Manor Dr, San Antonio, Texas |
| Authorized Official Name and Position | Howard Henry Galarneau (OWNER) |
| Authorized Official Contact | 2107322422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
929 Manor Dr #5 San Antonio TX 78228-3267 Ph: (210) 732-2422 | 929 Manor Dr #5 San Antonio TX 78228-3267 Ph: (210) 732-2422 |
| NPI Number | 1326218330 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326218330 | NPI | - | NPPES |
| 094782202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G5907 (Texas) | Primary |
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