Organization
METHODIST MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA S CLOUD (VICE PRESIDENT)
(210) 575-8505
Entity
Organization
Contact information
Practice address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 575-0254
(210) 575-0167
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 575-0254
(210) 575-0167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
03/13/2012
Last updated
03/14/2012
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