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Southtown Clinic, PC

Nurse Practitioner, Family in San Antonio, TX. Organization (NPI-2).

NPI number1124201652
StatusActive
Last updated in NPPESDec 6, 2007

Details

NPI
1124201652
Entity type
Organization (NPI-2)
Legal business name
Southtown Clinic, PC
Organization subpart
No
Enumeration date
Dec 6, 2007
Last updated
Dec 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

1025 S Presa St
San Antonio, TX 78210-1359

Phone 210-228-9340 · Fax 210-228-9342

Mailing address

1025 S Presa St
San Antonio, TX 78210-1359

Phone 210-228-9340 · Fax 210-228-9342

Authorized official

Mary Gomez Curll
President
2102289340

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