Organization
AMISTAD MEDICAL PROFESSIONALS
Active
Other names
Val Verde Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN F LARSON (SENIOR DIRECTOR OF OUPATIENT SERVIC)
(830) 774-4580
Entity
Organization
Contact information
Practice address
1200 N BEDELL AVE, DEL RIO, TX 78840-4491
(830) 774-4580
Mailing address
PO BOX 437, SAN ANTONIO, TX 78292-0437
(210) 558-6288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281839501
—
TX
Enumeration date
08/02/2010
Last updated
03/06/2015
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