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Organization
IT'S RELATED TO HEALTH IN SA, LLC
Active
Organization
IT'S RELATED TO HEALTH IN SA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS COOK PA (PHYSICIAN ASSISTANT)
(361) 437-6645
Entity
Organization
Contact information
Practice address
8419 SHALLOW CREEK DR, SAN ANTONIO, TX 78251-2215
(210) 844-3505
Mailing address
8419 SHALLOW CREEK DR, SAN ANTONIO, TX 78251-2215
(210) 844-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05138
PHYSICIAN ASSISTANT
TX
Enumeration date
07/30/2018
Last updated
07/30/2018
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