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Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 6/17/2022
559 MDOS/SGOW
221 3rd Street West
JBSA-Randolph, TX 78150
Phone: 210-652-2448
Location Details
- Practitioner spends 100% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Wed,Thur,Fri
Years in Active Clinical Practice
Last Updated 6/17/2022
Years in Active Clinical Practice Inside US/Canada: 5
Medicaid
Last Updated 6/17/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 6/17/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 6/17/2022
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