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Organization
KLARISANA
Active
Organization
KLARISANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL J BONNETT M.D. (OWNER)
(210) 556-1430
Entity
Organization
Contact information
Practice address
6335 CAMP BULLIS RD, SAN ANTONIO, TX 78257-9720
(210) 556-1430
(888) 504-2390
Mailing address
6335 CAMP BULLIS RD, SAN ANTONIO, TX 78257-9720
(210) 556-1430
(888) 504-2390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59198
TX
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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