Organization
DECO DISTRICT DOCTORS OFFICE LLC
Active
Other names
BROMLEY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M BROMLEY M.D. (OWNER)
(210) 732-5100
Entity
Organization
Contact information
Practice address
3202 SAN PEDRO AVE, SAN ANTONIO, TX 78212-2247
(210) 732-5100
(210) 732-5108
Mailing address
3202 SAN PEDRO AVE, SAN ANTONIO, TX 78212-2247
(210) 732-5100
(210) 732-5108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H9604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069KD
BLUE CROSS GROUP
TX
Enumeration date
04/17/2007
Last updated
12/17/2009
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