NPI 1003460288
PHD Med
Practice location
- Address
- 1205 N Loop 1604 W STE 225, San Antonio, TX 78258-4627
- Phone
- (210) 843-3565
- Mailing address
- 702 Contadora, San Antonio, TX 78258-4157
Authorised official
- Name
- Therese Rizzo
- Title
- Owner and Practitioner
- Phone
- (210) 843-3565
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1003460288
- Entity type
- Organization
- NPI issued
- 26 Jul 2019
- Record last updated
- 26 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.