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Organization
VIDA PHYSICIAN NETWORK, PLLC
Active
Organization
VIDA PHYSICIAN NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO I ROCHA MD (PRESIDENT)
(210) 922-5922
Entity
Organization
Contact information
Practice address
414 NAVARRO ST STE 703, SAN ANTONIO, TX 78205-2515
(210) 224-4811
Mailing address
414 NAVARRO ST STE 703, SAN ANTONIO, TX 78205-2515
(210) 224-4811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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