| Drwlc3 Llc | |
|
24200 Ih-10 West Suite107 Sa TX 78257 | |
| (210) 495-2117 | |
| (888) 893-4363 |
| Full Name | Drwlc3 Llc |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 24200 Ih-10 West, Sa, Texas |
| Authorized Official Name and Position | Tamyra L Rogers (OWNER) |
| Authorized Official Contact | 2104952117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drwlc3 Llc 2815 N Loop 1604 E Suite 105 San Antonio TX 78232-1708 Ph: (210) 495-2117 | Drwlc3 Llc 24200 Ih-10 West Suite107 Sa TX 78257 Ph: (210) 495-2117 |
| NPI Number | 1629455613 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629455613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | L3099 (Texas) | Primary |