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Individual

MS. VERA L MCDADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
8343 HASTINGS, SAN ANTONIO, TX 78239-2834
(210) 654-6407
(210) 654-6407
Mailing address
8343 HASTINGS, SAN ANTONIO, TX 78239-2834
(210) 654-6407
(210) 654-6407

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
1014371
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F50016495
TX
Enumeration date
04/26/2007
Last updated
07/09/2007
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