KIDNEY AND BLOOD PRESSURE CLINIC
Osteopathic Medicine at Medical Dr, San Antonio, TX

License number
Texas F1406
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: MRS. JESSICA J MEDOLA
Title: SUPERVISOR
Phone: (210) 692-1515
Address
Address
3939 Medical Dr STE 110, San Antonio, TX 78229
National Provider ID: 1144224171
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KIDNEY AND BLOOD PRESSURE CLINIC at bizstanding.com

KIDNEY AND BLOOD PRESSURE CLINIC OF SAN ANTONIO, P

3939 Medical Dr STE 110, San Antonio, TX 78229

Doing business as:
Kidney and Blood Pressure Clinic of San Antonio, PA
Registration:
Jun 12, 1985
State ID:
0081009303
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Bruce A. Brockway (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Kidney Treatment Center Northwest,3939 Medical Dr SUITE 110, San Antonio, TX 78229 (Physical)
TIN:
32036037821

KIDNEY AND BLOOD PRESSURE CLINIC OF SAN ANTONIO, P

3939 Medical Dr STE 110, San Antonio, TX 78229

Registration:
Jun 12, 1985
State ID:
0081009303
Agent:
Kidney Treatment Center Northwest,3939 Medical Dr SUITE 110, San Antonio, TX 78229 (Physical)
TIN:
32036037821

Kidney and Blood Pressure Clinic of San Antonio, PA

3939 Medical Dr, San Antonio, TX 78229

Registration:
Jun 12, 1985
State ID:
81009303
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Bruce A. Brockway (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Kidney Treatment Center Northwest

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