TRINITY FAMILY MEDICINE CLINIC LLC
Marriage and Family Therapists at Blanco Rd, San Antonio, TX

License number
Texas N1488
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JUAN PENA VELAZQUEZ M.D.
Title: PROVIDER
Phone: (210) 541-0018
Address
Address
6601 Blanco Rd SUITE 100, San Antonio, TX 78216
National Provider ID: 1164658332
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRINITY FAMILY MEDICINE CLINIC LLC

6601 Blanco Rd STE 100, San Antonio, TX 78216

Doing business as:
Trinity Family Medicine Clinic LLC
Registration:
Jul 19, 2013
State ID:
0801819155
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, Manager:
Juan Velazquez (PRESIDENT, Manager), 6601 Blanco Rd STE 100, San Antonio, TX 78216
Agent:
Juan P Velazquez,6601 Blanco Rd STE 100, San Antonio, TX 78216 (Physical)
TIN:
32051532995

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