Individual
HUGH EXCELL LOTHERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2455 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 78217-5649
(210) 599-6000
(210) 599-7519
Mailing address
8637 FREDERICKSBURG RD, SUITE 105, SAN ANTONIO, TX 78240-1283
(210) 617-4708
(210) 617-4075
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00559
TX
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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