Sp Administration
Dentist · San Antonio, TX
At a glance
11212 State Highway 151, San Antonio, TX 78251-4498
NPPES record updated May 24, 2016. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
11212 State Highway 151 Suite 106 Medical Plaza 1San Antonio, TX 78251-4498
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dentist
- Taxonomy code
- 122300000X
- Enumeration date
- May 24, 2016
- Record updated
- May 24, 2016
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Dentist
122300000X · Primary
License reported: 17028 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11212 State Highway 151Suite 106 Medical Plaza 1
San Antonio, TX 78251-4498
- Phone
- (210) 257-0953
- Fax
- (210) 257-5265
Mailing address
11212 STATE HIGHWAY 151SUITE 106 MEDICAL PLAZA 1
SAN ANTONIO, TX 782514498
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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