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Organization

WESTOVER HILLS CLINIC,PA

Active
Parent organization
WESTOVER HILLS CLINIC, PA
Other names
Guadalupe Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTOVER HILLS CLINIC, PA
Authorized official
CAROLINE HERNANDEZ (OWNER)
(210) 523-9933
Entity
Organization

Contact information

Practice address
1423 GUADALUPE ST, SUITE 105, SAN ANTONIO, TX 78207-5527
(210) 224-7545
Mailing address
PO BOX 760488, SAN ANTONIO, TX 78245-0488

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
L7752
TX

Other

Enumeration date
01/23/2008
Last updated
02/14/2008
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