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Organization
LEV DE LEI PROMOTIONAL ALLIANCE LLC
Active
Organization
LEV DE LEI PROMOTIONAL ALLIANCE LLC
Active
Other names
South Texas Hand Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON M OMBABA (MD/PRESIDENT)
(210) 370-9710
Entity
Organization
Contact information
Practice address
20079 STONE OAK PKWY, SUITE 1200, SAN ANTONIO, TX 78258-6942
(210) 370-9710
Mailing address
20079 STONE OAK PKWY, SUITE 1200, SAN ANTONIO, TX 78258-6942
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/16/2014
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