Organization
SAN LUCAS SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VALDEZ (CREDENTIALING SPECIALIST)
(210) 725-4646
Entity
Organization
Contact information
Practice address
215 E QUINCY ST STE 317, SAN ANTONIO, TX 78215-2033
(210) 910-4300
(210) 222-8200
Mailing address
215 E QUINCY ST STE 317, SAN ANTONIO, TX 78215-2033
(210) 910-4300
(210) 222-8200
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
05/21/2020
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