Organization
BAHIA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO FRANCISCO ROCA LSA (PRESIDENT/OWNER)
(914) 563-7342
Entity
Organization
Contact information
Practice address
12622 MILOJOS RNCH, SAN ANTONIO, TX 78245-3479
(914) 563-7342
Mailing address
12622 MILOJOS RNCH, SAN ANTONIO, TX 78245-3479
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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