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Organization
NORTH CENTRAL FAMILY CLINIC
Active
Organization
NORTH CENTRAL FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GARTON DO (OWNER)
(210) 402-3856
Entity
Organization
Contact information
Practice address
14701 HWY 281 N STE 240, SAN ANTONIO, TX 78232-4355
(210) 402-3856
(210) 403-2561
Mailing address
14701 HWY 281 N STE 240, SAN ANTONIO, TX 78232-4355
(210) 402-3856
(210) 403-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00830N
BCBS
TX
01
—
H8061
TX LICENSE
TX
Enumeration date
02/05/2008
Last updated
02/21/2008
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