UROLOGY SAN ANTONIO PA
Suppliers at Fredericksburg Rd, San Antonio, TX

License number
Texas G8179
Category
Radiology
Type
Urology
License number
Texas G8179
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: CLAYTON HUDNALL
Title: PRESIDENT
Phone: (210) 731-2050
Address
Address
7909 Fredericksburg Rd STE 110, San Antonio, TX 78229
National Provider ID: 1336551126
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UROLOGY SAN ANTONIO PA at bizstanding.com

UROLOGY SAN ANTONIO, PA

7909 Fredericksburg Rd STE 110, San Antonio, TX 78229

Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Offices and Clinics of Medical Doctors
Doing business as:
Urologic Surgical Associates, PA<br>Urology San Antonio, PA
Inactive reason:
REVOKED FOR ANNUAL REPORT
Registration:
Aug 29, 1994
Inactive since:
Oct 1, 2004
Description:
Offices of Physicians (except Mental Health Specialists)
State ID:
F03000002949
Business type:
Foreign Profit Corporation
Members:
Arthur S. Centeno (Member , Executive Committee),David R. Talley (Member),Patricia Cecconi (Member),...
Agent:
C T Corporation System,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
TIN:
32036019951
EIN:
742719352
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Company size:
499

Urology San Antonio, P.a

6243 Ih 10 W SUITE 560, San Antonio, TX 78201

Email:
[email protected]
SIC:
6732 - Educational, Religious, and Charitable Trusts

Rena A Sepulveda MD

7909 Fredericksburg Rd, San Antonio, TX 78229

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Urology San Antonio PA
Medical Doctors:
Christopher H. Cantrill (Medical Doctor),Michael Dermer Chief Operating Officer, inactive,Leroy A. Jones Medical Doctor, inactive,...

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