Organization
UTHSCSA, DENTAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABRICIO TEIXEIRA (PROGRAM DIRECTOR)
(210) 567-3381
Entity
Organization
Contact information
Practice address
7703 FLOYD CURL DR # 7892, SAN ANTONIO, TX 78229-3901
(210) 567-3389
Mailing address
7703 FLOYD CURL DR # 7892, SAN ANTONIO, TX 78229-3901
(210) 567-3389
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
97643
ZZ
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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