Individual
MR. MARIO NOLI GUDA LEGARDE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 863-7081
Mailing address
3111 BONITA SPGS, SAN ANTONIO, TX 78258-4253
(210) 844-5793
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
644568
TX
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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