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Organization
SOUTHERN URGENT CARE CENTER L.P
Active
Organization
SOUTHERN URGENT CARE CENTER L.P
Active
Other names
Stone Oak Urgent Care, STONE OAK URGENT CARE/ FAMILY PRACTICE, Stone Oak Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHIR R GOGU DO (PHYSICIAN)
(210) 481-6060
Entity
Organization
Contact information
Practice address
104 GALLERY CIR STE 114, SAN ANTONIO, TX 78258-3330
(210) 481-6060
(210) 481-6068
Mailing address
104 GALLERY CIR STE 114, SAN ANTONIO, TX 78258-3330
(210) 481-6060
(210) 481-6068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194908285
—
TX
01
—
H19945
UPIN
TX
Enumeration date
12/11/2007
Last updated
06/17/2024
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