| Diamond Blue Sports And Health Llc | |
|
104 Gallery Cir Ste 126 San Antonio TX 78258-3338 | |
| (210) 494-2820 | |
| Not Available |
| Full Name | Diamond Blue Sports And Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 104 Gallery Cir Ste 126, San Antonio, Texas |
| Authorized Official Name and Position | Veronica Kereti (OWNER) |
| Authorized Official Contact | 2104942820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Blue Sports And Health Llc 104 Gallery Cir Ste 126 San Antonio TX 78258-3338 Ph: (210) 494-2820 | Diamond Blue Sports And Health Llc 104 Gallery Cir Ste 126 San Antonio TX 78258-3338 Ph: (210) 494-2820 |
| NPI Number | 1487227872 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487227872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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