Organization
LONE STAR GERIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER WALTHALL MD (MANAGING MEMBER)
(210) 336-4070
Entity
Organization
Contact information
Practice address
140 HEIMER RD, SAN ANTONIO, TX 78232-5028
(210) 336-4070
Mailing address
140 HEIMER RD, SAN ANTONIO, TX 78232-5028
(210) 336-4070
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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