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Organization
SUMMIT CHILDREN'S CLINIC PA
Active
Organization
SUMMIT CHILDREN'S CLINIC PA
Active
Other names
Robert K. Johnson MD PA & Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SERGIO E. RAMON MD (PHYSICIAN/OWNER)
(210) 736-3126
Entity
Organization
Contact information
Practice address
401 W. SUMMIT, SAN ANTONIO, TX 78212
(210) 736-3126
(210) 733-1953
Mailing address
401 W. SUMMIT, SAN ANTONIO, TX 78212
(210) 736-3126
(210) 733-1953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F1687
TX
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039825702
—
TX
05
—
041962403
—
TX
05
—
080323101
—
TX
05
—
130516101
—
TX
Enumeration date
03/27/2007
Last updated
05/03/2011
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