Organization
SOUTHSIDE NEUROLOGY, PA
Active
Organization
SOUTHSIDE NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY R DITTMAR MBA, MHA (ADMINISTRATOR)
(210) 614-3009
Entity
Organization
Contact information
Practice address
7355 BARLITE BLVD, STE 101, SAN ANTONIO, TX 78224-1342
(210) 333-1477
Mailing address
2425 BABCOCK RD, STE 111, SAN ANTONIO, TX 78229-4898
(210) 520-7246
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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