Organization
ACM COLON AND RECTAL ASSOCIATES PLLC
Active
Other names
SAN ANTONIO COLON AND RECTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME L MAYORAL M.D. (PRESIDENT)
(210) 212-4114
Entity
Organization
Contact information
Practice address
1200 BROOKLYN AVE, SUITE 150, SAN ANTONIO, TX 78212-4803
(210) 212-4114
(210) 212-4012
Mailing address
PO BOX 596, SAN ANTONIO, TX 78292-0596
(210) 593-4020
(210) 404-8865
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
J9199
TX
Other
Enumeration date
07/17/2012
Last updated
11/07/2012
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