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Organization

JUAN LLOMPART M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN A LLOMPART-ZENO MD (PRESIDENT)
(361) 572-5105
Entity
Organization

Contact information

Practice address
2705 HOSPITAL DR STE 202, VICTORIA, TX 77901-5743
(361) 572-5105
(361) 582-1128
Mailing address
2705 HOSPITAL DR STE 202, VICTORIA, TX 77901-5743
(361) 572-5105
(361) 582-1128

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F9742
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145297101
TX
01
7603235
AETNA
Enumeration date
11/15/2006
Last updated
10/25/2011
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