# CAMBRIDGE CLINIC OF SAN ANTONIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528204450
- **Authorized official:** MR. JON P HENDRICKS (PRESIDENT)
- **Authorized official phone:** (800) 333-1980

## Contact information

- **Practice address:** 4242 WOODCOCK DR STE 210, SAN ANTONIO, TX 78228-1336
- **Practice address phone:** (800) 333-1980
- **Practice address fax:** (636) 326-9735
- **Mailing address:** 905 S HIGHWAY DR, STE 305, FENTON, MO 63026
- **Mailing address phone:** (800) 333-1980
- **Mailing address fax:** (636) 326-9735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2008
- **Last updated:** 01/27/2009