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1316583545
PREMIER PROVIDERS MEDCLINC,PLLC
SAN ANTONIO, TX
NPI
1316583545
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Entity Type
Organization
Authorized Contact
SNODA A ALAHMAD
Owner
210-550-0116
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
PREMIER PROVIDERS MEDCLINC,PLLC
9130 WURZBACH RD STE 102
SAN ANTONIO, TX 78240-1070
Phone number: 210-550-0116
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Mailing Address
PREMIER PROVIDERS MEDCLINC,PLLC
3627 GREEN BREEZE
SAN ANTONIO, TX 78247-3017
Phone number: 210-550-0116
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