OrganizationActive
Ingram Mall Fdc PA
NPI 1992963136 · Dentist · San Antonio, TX
Ingram Mall Fdc PA is a Dentist organization in San Antonio, TX (NPI 1992963136).
Provider details
- NPI number
- 1992963136
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lynn Armstrong, Regional Manager(505) 328-4867
- License
- 0008481 (TX)
Practice location
6301 N.w. Loop 410
Ste L1a
San Antonio, TX 78238-3824
Phone: (210) 354-4867
Fax: (210) 681-6985
Street-level locationGet directions
Mailing address
6301 N.w. Loop 410
San Antonio, TX 78238-3824
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.