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Organization

MEDICAL VEIN CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN S HOGG MD (PRESIDENT)
(512) 289-2198
Entity
Organization

Contact information

Practice address
622 ISOM RD, SAN ANTONIO, TX 78216-4464
(210) 622-8000
Mailing address
622 ISOM RD, SAN ANTONIO, TX 78216-4464

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
2085R0202X
Diagnostic Radiology Physician

Other

Enumeration date
05/22/2017
Last updated
08/30/2017
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