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Organization

MEDICAL ONCOLOGY OF SAN ANTONIO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUIARA M SHERRARD (PRACTICE ADMINISTRATOR)
(210) 599-0922
Entity
Organization

Contact information

Practice address
12705 TOEPPERWEIN RD, LIVE OAK, TX 78233-3257
(210) 599-0922
(210) 967-8586
Mailing address
PO BOX 2219, UNIVERSAL CITY, TX 78148-1219
(210) 599-0922
(210) 967-8586

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary

Other

Enumeration date
07/03/2008
Last updated
07/03/2008
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