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Organization
CAMBRIDGE CLINIC OF SAN ANTONIO, LLC
Active
Organization
CAMBRIDGE CLINIC OF SAN ANTONIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON P HENDRICKS (PRESIDENT)
(800) 333-1980
Entity
Organization
Contact information
Practice address
4242 WOODCOCK DR STE 210, SAN ANTONIO, TX 78228-1336
(800) 333-1980
(636) 326-9735
Mailing address
905 S HIGHWAY DR, STE 305, FENTON, MO 63026
(800) 333-1980
(636) 326-9735
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/24/2008
Last updated
01/27/2009
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