TERESA TREVINO WHITNEY MD PLLC
Ambulatory Health at San Pedro Ave, San Antonio, TX

License number
Texas N1493
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. MARIA T WHITNEY MD
Title: PHYSICIAN
Phone: (210) 697-3821
Address
Address
7049 San Pedro Ave, San Antonio, TX 78216
National Provider ID: 1265716583
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERESA TREVINO WHITNEY MD PLLC

San Antonio, TX

Status:
Inactive
Doing business as:
Teresa Trevino Whitney MD Pllc
Registration:
Aug 7, 2011
Addresses:
10935 Wurzbach Rd STE 202, San Antonio, TX 78230 (Mailing)
7807 Sierra Seco, San Antonio, TX 78240
State ID:
0801462555
Business type:
Domestic Limited Liability Company (LLC)
MANAGING M, Managing Member:
Maria Teresa Whitney (MANAGING M, Managing Member), 10935 Wurzbach SUITE 202, San Antonio, TX 78230
Agent:
Jason W. Whitney,7807 Sierra Seco, San Antonio, TX 78240 (Physical)
TIN:
32044805326

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