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1611 N Alamo St Ste 2 San Antonio TX 78215-1381 | |
(210) 333-0733 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1611 N Alamo St Ste 2, San Antonio, Texas |
Authorized Official Name and Position | Rosemary Castoreno (MEDICAL DIRECTOR) |
Authorized Official Contact | 2103330733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1611 N Alamo St Ste 2 San Antonio TX 78215-1381 Ph: (210) 333-0733 | 1611 N Alamo St Ste 2 San Antonio TX 78215-1381 Ph: (210) 333-0733 |
NPI Number | 1649798554 |
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Provider Enumeration Date | 08/31/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1649798554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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