Organization
BEXAR DIAGNOSTIC MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH SANCHEZ (ADMINISTRATOR)
(210) 692-3362
Entity
Organization
Contact information
Practice address
5430 FREDERICKSBURG RD, SUITE 400, SAN ANTONIO, TX 78229-3539
(210) 692-3362
(210) 616-3558
Mailing address
5430 FREDERICKSBURG RD, SUITE 400, SAN ANTONIO, TX 78229-3539
(210) 692-3362
(210) 616-3558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035EE
BCBS
TX
Enumeration date
03/28/2007
Last updated
03/28/2008
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