Organization
OSCAR N LIGHTNER MD PA
Active
Other names
Bulverde Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA GARCIA (CONTROLLER)
(956) 726-0501
Entity
Organization
Contact information
Practice address
9802 MCPHERSON RD, SUITE 108, LAREDO, TX 78045-6413
(830) 980-2435
(956) 726-6361
Mailing address
9802 MCPHERSON RD, SUITE 108, LAREDO, TX 78045-6413
(956) 726-0501
(956) 726-6361
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G4161
TX
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/02/2010
Last updated
11/27/2011
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