Organization
TRUSTED CARE SAN ANTONIO NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DESTEFANO (MANAGER)
(602) 715-1654
Entity
Organization
Contact information
Practice address
2116 BABCOCK RD, SAN ANTONIO, TX 78229-4411
(602) 715-1654
(602) 715-1654
Mailing address
20430 N 19TH AVE STE B145, PHOENIX, AZ 85027-3588
(210) 202-0288
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
11/17/2017
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