Organization · NPI-2

Acme Medical, PLLC

· San Antonio, TX

NPI number1932520780

StatusActive

Last updated in NPPESJul 19, 2022

Details

NPI: 1932520780
Entity type: Organization (NPI-2)
Legal business name: Acme Medical, PLLC
Organization subpart: No
Enumeration date: Dec 20, 2013
Certification date: Jul 19, 2022
Last updated: Jul 19, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0600X		–	–	Yes
2084N0400X	Psychiatry & Neurology, Neurology	–	–

Practice location

3619 Paesanos Pkwy Ste 302
San Antonio, TX 78231

Phone 210-598-4277 · Fax 210-566-1330

Mailing address

1141 N Loop 1604 E #105-612
San Antonio, TX 78232

Phone 210-598-4277 · Fax 210-566-1330

Authorized official

Roxanna Laroque
Director Of Client Experience
2105984277

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