Cbow Walker Fund Pllc

NPI 1154732659 - Dentist - 1223G0001X

NPI Details
NPI 1154732659
Enumeration Date 05/19/2014
Last Updated 07/07/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CAROLYN B CAROLYN
Position OWNER
Phone (210) 698-1010
Fax (210) 698-1078
Practice Location
25235 W INTERSTATE 10
SUITE 201
SAN ANTONIO TX, 78257-9550, US
Phone (210) 698-1010
Fax (210) 698-1078
Business Location
25235 W INTERSTATE 10
SUITE 201
SAN ANTONIO TX, 78257-9550, US
Phone (210) 698-1010
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 20536
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According to our database, Cbow Walker Fund Pllc NPI is 1154732659, taxonomy code is 1223G0001X and license number is 20536, license state is located at Texas. Cbow Walker Fund Pllc physically located at 25235 W Interstate 10, San Antonio TX, 78257-9550. NPI Number 1033115704 has the healthcare provider type.

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1154732659 NPI number is provided on an as is basis without warranty of any kind. 1154732659 is maintained by the National Plan & Provider Enumeration System. The contents of Cbow Walker Fund Pllc are for informational purposes only.