Organization · NPI-2

Agi D M E INC

Clinic/Center · San Antonio, TX

NPI number1730323619
StatusActive
Last updated in NPPESApr 23, 2009

Details

NPI
1730323619
Entity type
Organization (NPI-2)
Legal business name
Agi D M E INC
Organization subpart
No
Enumeration date
Apr 23, 2009
Last updated
Apr 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

11503 Jones Maltsberger Rd Ste 225
San Antonio, TX 78216-2894

Phone 210-320-7158

Mailing address

11503 Jones Maltsberger Rd Ste 225
San Antonio, TX 78216-2894

Phone 210-320-7158

Authorized official

Rafael Thomas Orellana
Vice President
2103207158

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