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Organization
UPSA ACO LLC
Active
Organization
UPSA ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD VAN WINKLE M.D. (PRESIDENT)
(210) 340-7941
Entity
Organization
Contact information
Practice address
8207 CALLAGHAN RD, STE 320, SAN ANTONIO, TX 78230-4735
(210) 340-7941
Mailing address
8207 CALLAGHAN RD, STE 320, SAN ANTONIO, TX 78230-4735
(210) 340-7941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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