Organization
FOUNDATION SURGICAL ASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZANNA LAROQUE (DIRECTOR OF CLIENT EXPERIENCE)
(210) 598-4277
Entity
Organization
Contact information
Practice address
2915 W BITTERS RD STE 201, SAN ANTONIO, TX 78248
(210) 598-4277
Mailing address
1141 N LOOP 1604 E #105-612, SAN ANTONIO, TX 78232
(210) 598-4277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
05/24/2024
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