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113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 | |
(830) 267-4575 | |
(830) 267-4575 |
Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 113 Pleasant Valley Dr Ste 210, Boerne, Texas |
Authorized Official Name and Position | Laura Givens (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8302674575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 Ph: (830) 267-4575 | 113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 Ph: (830) 267-4575 |
NPI Number | 1619404795 |
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Provider Enumeration Date | 05/19/2017 |
Last Update Date | 11/22/2022 |
Identifier | Type | State | Issuer |
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1619404795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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