Individual
JOSE RAUL GLORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 BRIGHTON, SAN ANTONIO, TX 78211-1541
(210) 347-6429
(210) 927-4023
Mailing address
1325 BRIGHTON, SAN ANTONIO, TX 78211-1541
(210) 347-6429
(210) 927-4023
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
GC-1251
TX
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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