Organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DODGE D.D.S. (DENTAL SCHOOL VICE DEAN)
(210) 567-3268
Entity
Organization
Contact information
Practice address
7703 FLOYD CURL DR., RM 4.194R, SAN ANTONIO, TX 78229
(210) 567-3274
(210) 567-2844
Mailing address
7703 FLOYD CURL DR., RM 4.194R, SAN ANTONIO, TX 78229
(210) 567-3274
(210) 567-2844
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
819382
UNITED CONCORDIA
—
01
—
D85N
BLUE CROSS BLUE SHIELD
—
01
—
G60211-02
CHIP
TX
Enumeration date
07/05/2006
Last updated
03/03/2008
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