Organization
MENS PERFORMANCE HEALTH SA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE TERENZI (AUTHORIZED OFFICIAL)
(210) 267-5400
Entity
Organization
Contact information
Practice address
525 OAK CENTRE DR, SUITE 230, SAN ANTONIO, TX 78258-3944
(210) 267-5400
Mailing address
525 OAK CENTRE DR, SUITE 230, SAN ANTONIO, TX 78258-3944
(210) 267-5400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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