Individual
RICHARD CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
12134 BOWIE ML, SAN ANTONIO, TX 78253-5879
(210) 827-1609
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
740935
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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