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1770023624
NEO2TEEN PEDIATRIC CLINIC, PA
SAN ANTONIO, TX
NPI
1770023624
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Entity Type
Organization
Authorized Contact
KENNETH ETOKHANA
President
210-888-9960
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX P2438)
Enumeration Date
2017-02-26
Last Update Date
2017-04-27
Business Address
NEO2TEEN PEDIATRIC CLINIC, PA
6735 FM 78 SUITE 103
SAN ANTONIO, TX 78244-1367
Phone number: 210-888-9960
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Mailing Address
NEO2TEEN PEDIATRIC CLINIC, PA
23723 SUNSET PEAK
SAN ANTONIO, TX 78258-7544
Phone number: 210-888-9960
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