Organization
RICHARD M LACKRITZ, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN MCCLENDON (OFFICE MANAGER)
(210) 615-0866
Entity
Organization
Contact information
Practice address
4499 MEDICAL DR STE 230, SAN ANTONIO, TX 78229-3712
(210) 615-0866
(210) 615-8321
Mailing address
4499 MEDICAL DR STE 230, SAN ANTONIO, TX 78229-3712
(210) 615-0866
(210) 615-8321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F1102
TX
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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