MEDICARE: POTRANCO 7TO7 PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1962177998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POTRANCO 7TO7 PLLC

Provider Business Mailing Address
First Line	:	PO BOX 461649
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78246-1649
Country	:	US
Telephone Number	:	210-495-2000
Fax Number	:	210-495-2001

Provider Business Practice Location Address
First Line	:	10730 POTRANCO RD STE 111
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3330
Country	:	US
Telephone Number	:	210-495-2000
Fax Number	:	210-495-2001

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	ANDREA CAROLINA VILLARREAL
Credential	:
Telephone Number	:	210-495-2000

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	08/11/2021

Similar Medicare Providers

1265131403 — DUSTIN JOE ZARATE
Practice Location Address:

10730 POTRANCO RD STE 111
SAN ANTONIO, TX
78251-3330

Practice Phone: 210-495-2000
Practice Fax:

1164602991 — SAMMY SMILES
Practice Location Address:

10730 POTRANCO RD STE 111
SAN ANTONIO, TX
78251-3330

Practice Phone: 210-509-8400
Practice Fax: 210-509-8404

1386977064 — GRMNM, PLLC
Practice Location Address:

10730 POTRANCO RD , STE 122 #195
SAN ANTONIO, TX
78251-3330

Practice Phone: 210-714-5504
Practice Fax:

1417337684 — DR. MARY GRACE FUENTES D.D.S.
Practice Location Address:

10730 POTRANCO RD STE 111
SAN ANTONIO, TX
78251-3330

Practice Phone: 210-495-2000
Practice Fax:

1659895316 — KSENIA LEONIDOVNA ROYAL-PRIEST DMD, MS
Practice Location Address:

10730 POTRANCO RD STE 111
SAN ANTONIO, TX
78251-3330

Practice Phone: 210-495-2000
Practice Fax:

1942270400 — DR. SUDHIR R GOGU D.O., PHD, MBA
Practice Location Address:

104 GALLERY CIRCLE , SUITE 114
SAN ANTONIO, TX
78258-3330

Practice Phone: 210-481-6060
Practice Fax: 210-481-6068

Directions to “POTRANCO 7TO7 PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.