Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA JOHNSON (CREDENTIALING COORDINATOR)
(713) 840-5245
Entity
Organization
Contact information
Practice address
3154 SE MILITARY DR, SUITE 103, SAN ANTONIO, TX 78223-3974
(832) 237-3500
(832) 237-0200
Mailing address
3154 SE MILITARY DR, SUITE 103, SAN ANTONIO, TX 78223-3974
(832) 237-3500
(832) 237-0200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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