LYMPHEDEMAMD OF AMERICA LLC NPI 1457694788

NPI Information

NPI: 1457694788
Provider Name: LYMPHEDEMAMD OF AMERICA LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
5410 FREDERICKSBURG ROAD
SUITE 102
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 702-3401
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LYMPHEDEMAMD OF AMERICA LLC is an occupational medicine clinic center in San Antonio, TX. LYMPHEDEMAMD OF AMERICA LLC NPI is 1457694788. The provider is registered as an organization entity type.

The provider's business location address is:

5410 FREDERICKSBURG ROAD
SUITE 102
SAN ANTONIO, TX
ZIP 78229-550
Phone: (210) 702-3401
Fax: (210) 702-3402

The provider's authorized official is Bonnie C. Gomez .
The authorized official title is Owner and has the following contact phone number (210) 702-3401.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 1/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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