| Tri Dang D O Pa | |
|
7430 Barlite Blvd Ste 103 San Antonio TX 78224-1366 | |
| (210) 977-9080 | |
| (210) 977-8480 |
| Full Name | Tri Dang D O Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7430 Barlite Blvd Ste 103, San Antonio, Texas |
| Authorized Official Name and Position | Maria Ernestina Gallegos (OFFICE MANAGER) |
| Authorized Official Contact | 2109779080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Dang D O Pa 7430 Barlite Blvd Ste 103 San Antonio TX 78224-1366 Ph: (210) 977-9080 | Tri Dang D O Pa 7430 Barlite Blvd Ste 103 San Antonio TX 78224-1366 Ph: (210) 977-9080 |
| NPI Number | 1679765325 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679765325 | NPI | - | NPPES |
| L1015 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1015 (Texas) | Primary |
| 208000000X | Pediatrics | L1015 (Texas) | Secondary |
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