DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INGRAM MALL FDC PA

Active Organization

INGRAM MALL FDC PA is a Dentist organization located in SAN ANTONIO, Texas. NPI 1992963136 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN ANTONIO, TX

Registration Details

NPI Number
1992963136
Provider Type
Organization
NPI Issued
May 23, 2008 (18.227080169369 yrs)
Last Updated
May 23, 2008
License
0008481 (TX)

Practice Information

Address
6301 N.W. LOOP 410
STE L1A
SAN ANTONIO, TX, 782383824
Browse TX providers · Browse ZIP 78238
Phone
2103544867
Fax
2106816985
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in SAN ANTONIO, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.