Organization
CHAMINDA FERNANDO DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMINDA FERNANDO DO (OWNER)
(240) 498-7622
Entity
Organization
Contact information
Practice address
20 GALLERIA DR, SAN ANTONIO, TX 78257-1217
(240) 498-7622
Mailing address
20 GALLERIA DR, SAN ANTONIO, TX 78257-1217
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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