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Organization

CENTER FOR INTERNAL MEDICINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN CARLOS GONZALEZ M.D. (PRESIDENT)
(210) 200-8798
Entity
Organization

Contact information

Practice address
8265 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3357
(210) 200-8798
(877) 904-3712
Mailing address
PO BOX 291096, SAN ANTONIO, TX 78229-1696
(210) 200-8798
(877) 904-3712

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L7397
TX

Other

Enumeration date
10/09/2007
Last updated
03/10/2014
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