Organization
INDEPENDENT AU AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH KUTAS (BILLING SPECIALIST)
(210) 727-0099
Entity
Organization
Contact information
Practice address
1212 WEST AVENUE, SAN ANTONIO, TX 78201
(210) 727-0099
(210) 855-7974
Mailing address
1212 WEST AVENUE, SAN ANTONIO, TX 78201
(210) 727-0099
(210) 855-7974
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
03/09/2022
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