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19780 S Us Highway 281 San Antonio TX 78221-9731 | |
| (210) 626-3854 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 19780 S Us Highway 281, San Antonio, Texas |
| Authorized Official Name and Position | Graciela Molina (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 2103342306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7607 Somerset Rd San Antonio TX 78211-3752 Ph: (210) 334-2300 | 19780 S Us Highway 281 San Antonio TX 78221-9731 Ph: (210) 626-3854 |
| NPI Number | 1467598979 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467598979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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