Organization
SANKOFA IOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNA GUERRERO (OFFICE MANAGER)
(214) 368-4668
Entity
Organization
Contact information
Practice address
1628 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
(214) 368-4668
Mailing address
1628 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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