Ingram Mall Fdc PA
Ingram Mall Fdc PA is a Dentist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6301 N.w Loop 410 Ste L1ASan Antonio, TX 78238-3824
Phone: (210) 354-4867
Fax: (210) 681-6985
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 0008481 (TX) |
|---|
Record details
| NPI number | 1992963136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lynn Armstrong — Regional Manager · (505) 328-4867 |
| NPI enumerated | May 23, 2008 |
| Last updated in NPPES | May 23, 2008 |
| Mailing address | 6301 N.W. Loop 410, Ste L1a, San Antonio, TX 78238-3824 |
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