Organization
BEXAR IMAGING CENTER, LLC
Active
Other names
Bexar Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN D GRUNDHOEFER (MANAGER)
(210) 617-4728
Entity
Organization
Contact information
Practice address
25 NE LOOP 410 STE 121A, SAN ANTONIO, TX 78216-5898
(210) 384-8439
Mailing address
25 NE LOOP 410 STE 121A, SAN ANTONIO, TX 78216-5898
(210) 384-8439
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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