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6018 West Ave Ste 2 San Antonio TX 78213-2730 | |
| (210) 979-8478 | |
| (210) 979-8548 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6018 West Ave Ste 2, San Antonio, Texas |
| Authorized Official Name and Position | Andrea Carrillo (REGIONAL DIRECTOR) |
| Authorized Official Contact | 8178316500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: (214) 396-7397 | 6018 West Ave Ste 2 San Antonio TX 78213-2730 Ph: (210) 979-8478 |
| NPI Number | 1184199325 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184199325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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