# SOUTHEAST ENDODONTIC GROUP PC

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

## Provider details

- **NPI number:** 1588076103
- **Authorized official:** KARRIEM THURMAN (OWNER/DOCTOR)
- **Authorized official phone:** (267) 973-5988

## Contact information

- **Practice address:** 3303 S WW WHITE RD, SAN ANTONIO, TX 78222-4829
- **Practice address phone:** (210) 257-8863
- **Practice address fax:** (210) 257-8940
- **Mailing address:** 3303 S WW WHITE RD, SAN ANTONIO, TX 78222-4829
- **Mailing address phone:** (210) 257-8863
- **Mailing address fax:** (210) 257-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014