VIVIAN W BUCAY MD PLLC
Dermatology at Craig Pl, San Antonio, TX

License number
Texas H3955
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: VIVIAN W BUCAY M.D.
Title: OFFICER
Phone: (210) 692-3000
Address
Address
326 W Craig Pl, San Antonio, TX 78212
National Provider ID: 1285884759
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Vivian W. Bucay, M.D., Pllc

San Antonio, TX

Doing business as:
Vivian W. Bucay, M.D., Pllc<br>Vivian W. Bucay,M.D
Registration:
Mar 26, 2004
Phone:
(210) 692-3000 (Phone)
Addresses:
326 W Craig Pl, San Antonio, TX 78212
7940 Floyd Curl Dr, San Antonio, TX 78229
State ID:
0800322404
Business type:
Domestic Limited Liability Company (LLC)
Receptionist Secretarys:
Moises Bucay (Director , Member),Vivian W. Bucay (Director, Member),Liz Synes (Medical Assistant),...
Agent:
Vivian W Bucay,326 W Craig Pl, San Antonio, TX 78212 (Physical)
TIN:
12600826973

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