# RICHARD M LACKRITZ, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114199312
- **Authorized official:** ELIZABETH ANN MCCLENDON (OFFICE MANAGER)
- **Authorized official phone:** (210) 615-0866

## Contact information

- **Practice address:** 4499 MEDICAL DR STE 230, SAN ANTONIO, TX 78229-3712
- **Practice address phone:** (210) 615-0866
- **Practice address fax:** (210) 615-8321
- **Mailing address:** 4499 MEDICAL DR STE 230, SAN ANTONIO, TX 78229-3712
- **Mailing address phone:** (210) 615-0866
- **Mailing address fax:** (210) 615-8321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | F1102 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008
