Organization
SHAVANO PRECISION LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE BARRY (PRACTICE ADMINISTRATOR)
(210) 615-1901
Entity
Organization
Contact information
Practice address
3603 PAESANOS PKWY, SUITE 205B, SAN ANTONIO, TX 78231-1267
(210) 615-1901
(210) 615-1905
Mailing address
3603 PAESANOS PKWY, SUITE 205B, SAN ANTONIO, TX 78231-1267
(210) 615-1901
(210) 615-1905
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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