Organization
PANTHER INPATIENT CARE PLLC
Active
Other names
PINC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE PANTHER M.D. (PRESIDENT)
(210) 262-2990
Entity
Organization
Contact information
Practice address
21710 EDEN ROSE HL, SAN ANTONIO, TX 78256-1670
(210) 262-2990
Mailing address
21710 EDEN ROSE HL, SAN ANTONIO, TX 78256-1670
(210) 262-2990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8899
MEDICAL LICENSE
TX
Enumeration date
12/14/2010
Last updated
12/21/2010
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