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Organization
SAINT RAPHAEL FAMILY FOCUSED MEDICINE PA
Active
Organization
SAINT RAPHAEL FAMILY FOCUSED MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MANNING LACKEY MD (PRESIDENT)
(210) 383-6861
Entity
Organization
Contact information
Practice address
10350 BANDERA RD, SUITE 300, SAN ANTONIO, TX 78250-5615
(210) 383-6861
Mailing address
10350 BANDERA RD, SUITE 300, SAN ANTONIO, TX 78250-5615
(210) 383-6861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5014
TX
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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