Organization
LYMPHEDEMAMD OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE C. GOMEZ (OWNER)
(210) 702-3401
Entity
Organization
Contact information
Practice address
5410 FREDERICKSBURG ROAD, SUITE 102, SAN ANTONIO, TX 78229-3550
(210) 702-3401
(210) 702-3402
Mailing address
5410 FREDERICKSBURG ROAD, SUITE 102, SAN ANTONIO, TX 78229-3550
(210) 702-3401
(210) 702-3402
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
01/12/2016
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