Organization
LDLC- SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DE LA CRUZ (CERTIFIED SURGICAL FIRST ASSISTANT)
(210) 218-2902
Entity
Organization
Contact information
Practice address
218 MACKEY DR, SAN ANTONIO, TX 78213-4453
(210) 218-2902
(210) 236-9621
Mailing address
218 MACKEY DR, SAN ANTONIO, TX 78213-4453
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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