CENTER FOR INTERNAL MEDICINE, PA
Ambulatory Health at Fredericksburg Rd, San Antonio, TX

License number
Texas L7397
Category
Ambulatory Health
Type
Primary Care
Owner
Name: JUAN CARLOS GONZALEZ M.D.
Title: PRESIDENT
Phone: (210) 200-8798
Address
Address
8265 Fredericksburg Rd, San Antonio, TX 78229
National Provider ID: 1023206513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTER FOR INTERNAL MEDICINE, PA

San Antonio, TX

Industry:
Medical Doctor's Office
Registration:
Sep 5, 2007
Addresses:
8265 Fredericksburg Rd, San Antonio, TX 78229 (Mailing)
1603 Babcock Rd, San Antonio, TX 78229
PO Box 291096, San Antonio, TX 78229
730 N Main Ave, San Antonio, TX 78205
State ID:
0800866752
Business type:
Professional Association
Consultants:
Juan C. Gonzalez (President, President , Director , Member),Kelly Gurra (Consultant)
Agent:
Juan Gonzalez,8265 Fredericksburg Rd, San Antonio, TX 78229 (Physical)
TIN:
32034977010

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