| |
21 Spurs Lane Suite 245 San Antonio TX 78240 | |
(210) 487-7463 | |
(210) 487-7468 |
Full Name | |
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Speciality | Orthopaedic Surgery |
Location | 21 Spurs Lane, San Antonio, Texas |
Authorized Official Name and Position | Steven J Cyr (OWNER) |
Authorized Official Contact | 2104877463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 848827 Boston MA 02284-8827 Ph: (210) 487-7463 | 21 Spurs Lane Suite 245 San Antonio TX 78240 Ph: (210) 487-7463 |
NPI Number | 1407889264 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 04/12/2012 |
Identifier | Type | State | Issuer |
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1407889264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 629948 (Texas) | Secondary |
207X00000X | Orthopaedic Surgery | K3566 (Texas) | Primary |
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