SAMUEL RAYMOND THEIS

JBSA LACKLAND, TX
NPI1235638081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OH  34.014690)
Enumeration Date2018-02-07
Last Update Date2023-08-11
Business Address
Dr. SAMUEL RAYMOND THEIS DO
1100 WILFORD HALL LOOP BLDG 4554 59 MDW/GME
JBSA LACKLAND, TX 78236-9908
Phone number: 210-916-0935
Mailing Address
Dr. SAMUEL RAYMOND THEIS DO
1100 WILFORD HALL LOOP BLDG 4554 59 MDW/GME
JBSA LACKLAND, TX 78236-9908
Phone number:
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