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1033732243
TAD KIYOSHI SUGIYAMA
SAN ANTONIO, TX
NPI
1033732243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX U4643)
Enumeration Date
2020-05-21
Last Update Date
2024-11-15
Business Address
TAD KIYOSHI SUGIYAMA DO
903 W MARTIN ST
SAN ANTONIO, TX 78207-0903
Phone number: 210-358-0572
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Mailing Address
TAD KIYOSHI SUGIYAMA DO
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207-0903
Phone number: 201-358-5909
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