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Organization
PMPA PLLC
Active
Organization
PMPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTNE VIDOURIA DO (OWNER)
(210) 767-2258
Entity
Organization
Contact information
Practice address
9502 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78240-1649
(210) 767-2258
(210) 767-2259
Mailing address
9502 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78240-1649
(210) 767-2258
(210) 767-2259
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M1395
TX
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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