ROOSEVELT FAZ

SAN ANTONIO, TX
NPI1215470802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2016-11-30
Last Update Date2016-11-30
Business Address
-- ROOSEVELT FAZ
1141 N LOOP 1604 E # 105-612
SAN ANTONIO, TX 78232-1339
Phone number: 210-598-2800
Mailing Address
-- ROOSEVELT FAZ
1141 N LOOP 1604 E # 105-612
SAN ANTONIO, TX 78232-1339
Phone number: 210-598-2800
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