Organization · NPI-2

720 Rad, Ltd

Family Medicine · San Antonio, TX

NPI number1649438862
StatusActive
Last updated in NPPESMay 23, 2008

Details

NPI
1649438862
Entity type
Organization (NPI-2)
Legal business name
720 Rad, Ltd
Organization subpart
No
Enumeration date
May 23, 2008
Last updated
May 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––

Practice location

720 Pleasanton Rd
San Antonio, TX 78214-1306

Phone 210-921-3800 · Fax 210-921-6620

Mailing address

720 Pleasanton Rd
San Antonio, TX 78214-1306

Phone 210-921-3800 · Fax 210-921-6620

Authorized official

William Gonzaba
President/Ceo
2109213800

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