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Organization
GREATER SA HOUSE CALLS, LLC
Active
Organization
GREATER SA HOUSE CALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UGHANMWAN TOKUNBOR EFEOVBOKHAN GNP (OWNER)
(210) 789-1274
Entity
Organization
Contact information
Practice address
5309 WURZBACH RD STE 106, SAN ANTONIO, TX 78238-2431
(210) 647-4671
(210) 647-7552
Mailing address
9531 AUTUMN BREEZE, SAN ANTONIO, TX 78254-1969
(210) 647-4671
(210) 647-7552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
12/15/2009
Last updated
03/22/2022
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