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1770169872
TRISTAN FUN
SAN ANTONIO, TX
NPI
1770169872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX U9526)
Enumeration Date
2021-03-20
Last Update Date
2024-06-24
Business Address
TRISTAN FUN MD
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216-2530
Phone number: 210-729-2262
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Mailing Address
TRISTAN FUN MD
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216-2530
Phone number: 210-729-2262
Copy
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