Individual
JOSEPH BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
U1866
TX
Other
Enumeration date
12/03/2018
Last updated
08/10/2023
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