Organization
SOUTH TEXAS PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WALLACE BECK (OWNER)
(210) 654-7878
Entity
Organization
Contact information
Practice address
6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
(210) 680-0706
(210) 509-4518
Mailing address
6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
(210) 680-0706
(210) 509-4518
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15287
TX
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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