Organization
RG SURGICAL ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GUARDIOLA (CERTIFIED SURGICAL ASSISTANT)
(210) 835-4323
Entity
Organization
Contact information
Practice address
7114 COVE HBR, SAN ANTONIO, TX 78242-2320
(210) 835-4323
Mailing address
7114 COVE HBR, SAN ANTONIO, TX 78242-2320
(210) 835-4323
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12-217
TX
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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