Organization
AGI D M E INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL THOMAS ORELLANA (VICE PRESIDENT)
(210) 320-7158
Entity
Organization
Contact information
Practice address
11503 JONES MALTSBERGER RD STE 225, SAN ANTONIO, TX 78216-2894
(210) 320-7158
Mailing address
11503 JONES MALTSBERGER RD STE 225, SAN ANTONIO, TX 78216-2894
(210) 320-7158
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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