Individual
MR. ANTHONY BRIAN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, PODIATRY CLINIC, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 617-5384
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 617-5384
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
12/09/2010
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