LAWRENCE A CZELUSTA, DPM, PC
Podiatry at Schoenthal Rd, San Antonio, TX

License number
Texas 0633
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. LAWRENCE A CZELUSTA D.P.M.
Title: PRESIDENT
Phone: (210) 656-6383
Address
Address
9325 Schoenthal Rd, San Antonio, TX 78266
National Provider ID: 1447675970
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAWRENCE A. CZELUSTA, D.P.M., PC

San Antonio, TX

Doing business as:
Lawrence A. Czelusta, D.P.M., PC
Registration:
Jul 30, 1982
Addresses:
9325 Schoenthal Rd, San Antonio, TX 78266 (Mailing)
8601 Vlg Dr, San Antonio, TX 78217
State ID:
0090807102
Business type:
Domestic Professional Corporation
PRESIDENT, President:
Lawrence A Czelusta (PRESIDENT, President), 8601 Vlg Dr SUITE 10, San Antonio, TX 78217
TIN:
17422386353

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