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Individual

MR. CRAIG G PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
5290 MEDICAL DR., SAN ANTONIO, TX 78229-4815
(210) 614-6000
(210) 614-7728
Mailing address
5290 MEDICAL DR., SAN ANTONIO, TX 78229-4815
(210) 614-6000
(210) 614-7728

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00179
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA00179
PA STATE LICENSE
TX
Enumeration date
11/10/2005
Last updated
03/06/2009
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