Organization
F CHARLES PETR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA DAWN SMITH (BILLING MANAGER)
(210) 656-3376
Entity
Organization
Contact information
Practice address
2391 NE LOOP 410, SUITE 101, SAN ANTONIO, TX 78217-5600
(210) 656-3376
(210) 656-4864
Mailing address
2391 NE LOOP 410, SUITE 101, SAN ANTONIO, TX 78217-5600
(210) 656-3376
(210) 656-4864
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H2684
TX
Other
Enumeration date
05/01/2007
Last updated
10/30/2007
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