PMC HEALTHCARE AND DIAGNOSTICS OF SAN ANTONIO, PC
Osteopathic Medicine at Loop 1604, San Antonio, TX

License number
Texas K7449
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SHAUNA LYN MD
Title: MEDICAL DIRECTOR
Phone: (210) 201-8000
Address
Address 2
400 N Loop 1604 E SUITE 330, San Antonio, TX 78232
3007 N Lamar Blvd, Austin, TX 78705
National Provider ID: 1720492465
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PMC HEALTHCARE & DIAGNOSTICS OF SAN ANTONIO, PC

3010 Bee Caves Rd STE 200, Austin, TX 78746

Registration:
Jun 16, 2014
State ID:
0802012712
Business type:
Domestic Professional Corporation
Director:
Shauna Lyn (Director)
Agent:
Greg Cooper,3007 N Lamar Blvd, Austin, TX 78705 (Physical)
TIN:
32054387181

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