Organization
TOTAL WOUND SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE ANN LARSON-LOHR APRN (MANAGING PARTNER)
(210) 494-1100
Entity
Organization
Contact information
Practice address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 592-5349
(210) 592-5462
Mailing address
2935 THOUSAND OAKS, SUITE 294, SAN ANTONIO, TX 78247-3312
(210) 494-1100
(210) 494-1117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155302601
—
TX
01
—
87960X
BLUE CROSS BLUE SHIELD
TX
01
—
G25684
UPIN
TX
01
—
P00090037
MEDICAL RAILROAD
TX
Enumeration date
02/22/2008
Last updated
06/06/2011
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