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Organization

POTRANCO EMERGENCY PHYSICIANS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HALEY RILEY (CREDENTIALING MANAGER)
(361) 851-6626
Entity
Organization

Contact information

Practice address
12314 POTRANCO RD STE 102, SAN ANTONIO, TX 78253-4125
(210) 981-3001
Mailing address
12314 POTRANCO RD STE 102, SAN ANTONIO, TX 78253-4125

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
01/17/2024
Last updated
01/17/2024
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