Organization
SOPHIE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGCHU PENG (OFFICE MANAGER)
(210) 615-6808
Entity
Organization
Contact information
Practice address
4242 MEDICAL DR, SUITE 7125, SAN ANTONIO, TX 78229-5640
(210) 615-6808
Mailing address
4242 MEDICAL DR, SUITE 7125, SAN ANTONIO, TX 78229-5640
(210) 615-6808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BLUE CROSS, BLUE SHIELD
TX
Enumeration date
12/27/2012
Last updated
12/27/2012
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