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8600 Wurzbach Rd Ste 1110 San Antonio TX 78240 | |
| (210) 556-1430 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 8600 Wurzbach Rd Ste 1110, San Antonio, Texas |
| Authorized Official Name and Position | Carl John Bonnett (MANAGING MEMBER) |
| Authorized Official Contact | 3039456054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8600 Wurzbach Rd Ste 1110 San Antonio TX 78240-4334 Ph: (210) 556-1430 | 8600 Wurzbach Rd Ste 1110 San Antonio TX 78240 Ph: (210) 556-1430 |
| NPI Number | 1013384866 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013384866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | P8449 (Texas) | Primary |
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