SA-LTP PA
Medical Practice at Encino Ledge, San Antonio, TX

License number
Texas K3632
Category
Medical Practice
Type
Pediatrics
Owner
Name: TERESA M ROCHABRUN
Title: MANAGER
Phone: (210) 402-0138
Address
Address
20306 Encino Ledge SUITE 101, San Antonio, TX 78259
National Provider ID: 1619167921
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SA-LTP PA at bizstanding.com

SA-LTP, PA

San Antonio, TX

Doing business as:
Little Texans Pediatrics<br>Sa-Ltp, PA
Registration:
Aug 2, 2001
Addresses:
20306 Encino Ledge STE 101, San Antonio, TX 78259 (Mailing)
540 Madison Oak Dr, San Antonio, TX 78258
State ID:
0082325903
Business type:
Professional Association
President , Secretary , Director , Member:
Carlos Quiroz (President , Secretary , Director , Member)
TIN:
17430125868

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