Organization
PHD MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE RIZZO NP (OWNER AND PRACTITIONER)
(210) 843-3565
Entity
Organization
Contact information
Practice address
1205 N LOOP 1604 W STE 225, SAN ANTONIO, TX 78258-4627
(210) 843-3565
Mailing address
702 CONTADORA, SAN ANTONIO, TX 78258-4157
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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