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527 N Leona St San Antonio TX 78207-3110 | |
| (210) 358-3931 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 527 N Leona St, San Antonio, Texas |
| Authorized Official Name and Position | Elena G Pogosian (RESIDENT) |
| Authorized Official Contact | 2103583931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
527 N Leona St San Antonio TX 78207-3110 Ph: (210) 358-3931 | 527 N Leona St San Antonio TX 78207-3110 Ph: (210) 358-3931 |
| NPI Number | 1508037110 |
|---|---|
| Provider Enumeration Date | 03/22/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508037110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 000000000 (Texas) | Primary |
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