SHIVAM MEDICAL GROUP PA
Ambulatory Health at Culebra Rd, San Antonio, TX

License number
Texas L2392
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. SANJAY KUMAR MD
Title: DIRECTOR
Phone: (210) 910-5550
Address
Address 2
9002 Culebra Rd SUITE 104, San Antonio, TX 78251
PO Box 1190, Grey Forest, TX 78023
National Provider ID: 1699112052
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHIVAM MEDICAL GROUP PA

10607 Liberty Fld STE 103, San Antonio, TX 78254

Doing business as:
Shivam Medical Group PA
Registration:
May 13, 2013
State ID:
0801783099
Business type:
Professional Association
Director:
Sanjay Kumar (Director)
TIN:
32050975682

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