| South Texas Oral Surgery | |
|
6530 W Loop 1604 N Suite 101 San Antonio TX 78254-6319 | |
| (210) 625-7277 | |
| (210) 787-2022 |
| Full Name | South Texas Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6530 W Loop 1604 N, San Antonio, Texas |
| Authorized Official Name and Position | Ryan Leonhart (OWNER) |
| Authorized Official Contact | 2106257277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Oral Surgery 6530 W Loop 1604 N Suite 101 San Antonio TX 78254-6319 Ph: (210) 625-7277 | South Texas Oral Surgery 6530 W Loop 1604 N Suite 101 San Antonio TX 78254-6319 Ph: (210) 625-7277 |
| NPI Number | 1952710949 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952710949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 27720 (Texas) | Primary |
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