MIWA MEDICAL GROUP, PLLC
Marriage and Family Therapists at Division Ave, San Antonio, TX

License number
Texas N7147
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. EDWARD A MIWA M.D
Title: OWNER
Phone: (210) 391-8400
Address
Address
600 Division Ave STE G, San Antonio, TX 78214
National Provider ID: 1326323056
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIWA MEDICAL GROUP, PLLC

San Antonio, TX

Industry:
Health/Allied Services
Doing business as:
Miwa Medical Group, Pllc
Registration:
Aug 4, 2011
Addresses:
2515 Castroville Rd STE 1, San Antonio, TX 78237 (Mailing)
1804 NE Loop 410, San Antonio, TX 78217
600 Division Ave, San Antonio, TX 78214
State ID:
0801462871
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, President, Director:
Edward Miwa (PRESIDENT, President, Director), 1804 NE Loop 410 STE 100, San Antonio, TX 78217
Agent:
Edward A Miwa,Pan Am South Medical And Dental Ctr 600 Divisio, San Antonio, TX 78214 (Physical)
TIN:
32044841586

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