Organization
SOUTHSIDE ORTHOPAEDIC & REHABILITATION ASSOCIATES PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO GUAJARDO M.D. (OWNER)
(210) 922-0621
Entity
Organization
Contact information
Practice address
303 E QUINCY, SUITE 102, SAN ANTONIO, TX 78215-1922
(210) 922-0621
(210) 927-1171
Mailing address
303 E QUINCY, SUITE 102, SAN ANTONIO, TX 78215-1922
(210) 922-0621
(210) 927-1171
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E7415
TX
Other
Enumeration date
05/06/2008
Last updated
07/28/2014
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