ATLANTIC MEDICAL, PLLC
Ambulatory Health at Oconnor Rd, San Antonio, TX

License number
Texas PA01295
Category
Ambulatory Health
Type
Primary Care
Owner
Name: RICHARD P. BRANSON PA
Title: PRESIDNET
Phone: (210) 657-3700
Address
Address
11403 Oconnor Rd STE. 108, San Antonio, TX 78233
National Provider ID: 1992973200
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ATLANTIC MEDICAL, PLLC

11403 Oconnor Rd STE 108, San Antonio, TX 78233

Registration:
Jan 4, 2008
State ID:
0800919386
MEMBERs:
Edmundo Reveron (MEMBER), 16830 Winding Oak Dr, San Antonio, TX 78247,Richard Branson (MEMBER), 1020 White Wing, Schertz, TX 78154
TIN:
32034414675

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