MEDICAL TECHNOLOGY PROVIDER, LLC

SAN ANTONIO, TX
NPI1619362357
Entity TypeOrganization
Authorized ContactDMITRIY BUYANOV
President
210-298-6630
Organization Subpart ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2015-03-31
Last Update Date2015-03-31
Business Address
MEDICAL TECHNOLOGY PROVIDER, LLC
2425 BABCOCK RD STE. 102
SAN ANTONIO, TX 78229-4898
Phone number: 210-298-6630
Mailing Address
MEDICAL TECHNOLOGY PROVIDER, LLC
2425 BABCOCK RD STE. 102
SAN ANTONIO, TX 78229-4898
Phone number: 210-298-6630