Provider First Line Business Practice Location Address:
WELLMED AT SW MILITARY
Provider Second Line Business Practice Location Address:
517 SW MILITARY DR STE A
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-921-0322
Provider Business Practice Location Address Fax Number:
210-921-1451
Provider Enumeration Date:
11/06/2015