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4360 Thousand Oaks Dr San Antonio TX 78217-2153 | |
| (210) 655-2300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 4360 Thousand Oaks Dr, San Antonio, Texas |
| Authorized Official Name and Position | Sandra George (VP) |
| Authorized Official Contact | 2106552300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4360 Thousand Oaks Dr San Antonio TX 78217-2153 Ph: (210) 655-2300 | 4360 Thousand Oaks Dr San Antonio TX 78217-2153 Ph: (210) 655-2300 |
| NPI Number | 1508691411 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508691411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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