GULF COAST FOOT CLINIC PA
Podiatry at Virginia St, Green Lake, TX

License number
Texas 1296
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. RICHARD STEINBERG D.P.M.
Title: PODIATRY
Phone: (361) 552-0295
Address
Address
815 N Virginia St, Green Lake, TX 77979
National Provider ID: 1710181011
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GULF COAST FOOT CLINIC, PA

PO Box 125, Port Lavaca, TX 77979

Status:
Inactive
Registration:
Apr 28, 1995
State ID:
0081611003
Agent:
Richard Steinberg,815 N Virginia, Port Lavaca, TX 77979 (Physical)
TIN:
32036017526

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