Organization
ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA M LOPEZ (OFFICE MANAGER)
(210) 223-5483
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 374, SAN ANTONIO, TX 78212-5615
(210) 223-5483
(210) 223-5492
Mailing address
1303 MCCULLOUGH AVE, SUITE 374, SAN ANTONIO, TX 78212-5615
(210) 223-5483
(210) 223-5492
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083522501
—
TX
Enumeration date
02/05/2007
Last updated
11/22/2011
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