Individual
CHISOM RAYMOND OGIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 BABCOCK RD, SAN ANTONIO, TX 78229-4425
(210) 858-9980
Mailing address
2040 BABCOCK RD, SAN ANTONIO, TX 78229-4425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18018
TX
Other
Enumeration date
06/25/2022
Last updated
08/19/2024
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