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Organization
HEALTH DSA
Active
Organization
HEALTH DSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN VELEZ R.D.C.S (MANAGER)
(210) 710-5742
Entity
Organization
Contact information
Practice address
8026 VANTAGE DR, SUITE 224, SAN ANTONIO, TX 78230-4733
(210) 710-5742
Mailing address
PO BOX 591717, SAN ANTONIO, TX 78259-0135
(210) 710-5742
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
025745
TX
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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