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Organization
UROLOGY ASSOC OF SAN ANTONIO PA
Active
Organization
UROLOGY ASSOC OF SAN ANTONIO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY ELLIOT KRUSE MD (PRESIDENT)
(210) 227-9376
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 561, SAN ANTONIO, TX 78212-5668
(210) 227-9376
(210) 227-0916
Mailing address
1303 MCCULLOUGH AVE, SUITE 561, SAN ANTONIO, TX 78212-5668
(210) 227-9376
(210) 227-0916
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
07/06/2010
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