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1619447679
JOSEPH BRODERICK
SAN ANTONIO, TX
NPI
1619447679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: TX U1866)
Enumeration Date
2018-12-03
Last Update Date
2023-08-10
Business Address
JOSEPH BRODERICK
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4141
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Mailing Address
JOSEPH BRODERICK
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4141
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