Drwlc3 Llc | |
24200 Ih-10 West Suite107 Sa TX 78257 | |
(210) 495-2117 | |
(888) 893-4363 |
Full Name | Drwlc3 Llc |
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Speciality | Family Medicine - Obesity Medicine |
Location | 24200 Ih-10 West, Sa, Texas |
Authorized Official Name and Position | Tamyra L Rogers (OWNER) |
Authorized Official Contact | 2104952117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Drwlc3 Llc 2815 N Loop 1604 E Suite 105 San Antonio TX 78232-1708 Ph: (210) 495-2117 | Drwlc3 Llc 24200 Ih-10 West Suite107 Sa TX 78257 Ph: (210) 495-2117 |
NPI Number | 1629455613 |
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Provider Enumeration Date | 04/29/2015 |
Last Update Date | 04/29/2015 |
Identifier | Type | State | Issuer |
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1629455613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | L3099 (Texas) | Primary |