| Spa Lounge Llc | |
|
3355 Cherry Ridge Dr Ste 104 San Antonio TX 78230-4818 | |
| (210) 772-7177 | |
| Not Available |
| Full Name | Spa Lounge Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3355 Cherry Ridge Dr Ste 104, San Antonio, Texas |
| Authorized Official Name and Position | Christine Mercy Dimas (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2107717277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Lounge Llc 3355 Cherry Ridge Dr Ste 104 San Antonio TX 78230-4818 Ph: (210) 772-7177 | Spa Lounge Llc 3355 Cherry Ridge Dr Ste 104 San Antonio TX 78230-4818 Ph: (210) 772-7177 |
| NPI Number | 1780371989 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780371989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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