Organization
COLLIN RADER PA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN RADER DO (OWNER)
(210) 441-2661
Entity
Organization
Contact information
Practice address
17910 BULVERDE RD STE 115, SAN ANTONIO, TX 78259-3762
(210) 906-8478
Mailing address
2327 N SHADY ST, VISALIA, CA 93291-3932
(210) 441-2661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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