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Organization
TANDI MEDICAL CENTER PA
Active
Organization
TANDI MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L NIETO MD (PRESIDENT)
(210) 999-5586
Entity
Organization
Contact information
Practice address
10607 LIBERTY FIELD, SUITE 103, SAN ANTONIO, TX 78254
(210) 999-5586
(210) 999-5605
Mailing address
PO BOX 1714, HELOTES, TX 78023
(210) 999-5586
(210) 999-5605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2085
TX
Other
Enumeration date
12/01/2006
Last updated
02/02/2011
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