Organization
NOVUS ORDO
Active
Other names
Physicians In-Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J BARRERA (CFO)
(713) 459-6221
Entity
Organization
Contact information
Practice address
22258 GOLDCREST RUN, SAN ANTONIO, TX 78260-3555
(210) 255-7445
(830) 438-4742
Mailing address
22258 GOLDCREST RUN, SAN ANTONIO, TX 78260-3555
(210) 255-7445
(830) 438-4742
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
TX
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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