Organization
LYMPHEDEMA MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GOMEZ (OWNER)
(210) 702-3401
Entity
Organization
Contact information
Practice address
5410 FREDERICKSBURG RD STE 102, SAN ANTONIO, TX 78229-3550
(210) 702-3401
Mailing address
5410 FREDERICKSBURG RD STE 102, SAN ANTONIO, TX 78229-3550
(210) 702-3401
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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