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1730609082
PHILLIP LODICO
SAN ANTONIO, TX
NPI
1730609082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T6949)
Enumeration Date
2017-06-27
Last Update Date
2024-06-17
Business Address
PHILLIP LODICO DO
4301 BROADWAY ST
SAN ANTONIO, TX 78209-6318
Phone number: 210-283-6304
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Mailing Address
PHILLIP LODICO DO
4301 BROADWAY ST
SAN ANTONIO, TX 78209-6318
Phone number: 210-283-6304
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