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Organization

IND OPULENCE LLC

Active
Other names
ANY LAB TEST NOW
Organization subpart
No

Provider details

NPI number
Authorized official
SESHA C CHARY PHARM.D. (PRESIDENT)
(210) 267-5501
Entity
Organization

Contact information

Practice address
17700 N US HIGHWAY 281, SUITE # 300, SAN ANTONIO, TX 78232-1404
(210) 267-5501
(210) 267-5502
Mailing address
17700 N US HIGHWAY 281, SUITE # 300, SAN ANTONIO, TX 78232-1404
(210) 267-5501
(210) 267-5502

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2004615
TX

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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