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Organization

S. TEXAS ORTHO PLLC

Active
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Organization

S. TEXAS ORTHO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0559
Entity
Organization

Contact information

Practice address
21970 BULVERDE RD STE 100, SAN ANTONIO, TX 78259-2179
(210) 493-6067
Mailing address
21970 BULVERDE RD STE 100, SAN ANTONIO, TX 78259-2179
(210) 493-6067

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
08/15/2019
Last updated
07/21/2026
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