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Organization
TRINITY FAMILY MEDICINE CLINIC LLC
Active
Organization
TRINITY FAMILY MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN PENA VELAZQUEZ M.D. (PROVIDER)
(210) 541-0018
Entity
Organization
Contact information
Practice address
6601 BLANCO RD, SUITE 100, SAN ANTONIO, TX 78216-6102
(210) 541-0018
(210) 541-0024
Mailing address
6601 BLANCO RD, SUITE 100, SAN ANTONIO, TX 78216-6102
(210) 541-0018
(210) 541-0024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N1488
TX
Other
Enumeration date
06/02/2009
Last updated
08/26/2015
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