Organization
ZSHAHMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
1445 HANZ DR, NEW BRAUNFELS, TX 78130-2567
(702) 453-3799
(702) 453-5741
Mailing address
176 ROYAL GEORGE CIR, MC QUEENEY, TX 78123-3413
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M3733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M37333
TX LIC
TX
Enumeration date
07/01/2010
Last updated
09/19/2016
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