Dr Clinton D Polhamus, MD | |
1804 Ne Loop 410, #101, San Antonio, TX 78217-5211 | |
(210) 828-8400 | |
(210) 804-4454 |
Full Name | Dr Clinton D Polhamus |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1804 Ne Loop 410, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497749790 | NPI | - | NPPES |
114369504 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | E8822 (Texas) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | G2539 (Texas) | Primary |
Entity Name | Texas Digestive Disease Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
Mailing Address | Practice Location Address |
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Dr Clinton D Polhamus, MD 1804 Ne Loop 410, #101, San Antonio, TX 78217-5211 Ph: (210) 828-8400 | Dr Clinton D Polhamus, MD 1804 Ne Loop 410, #101, San Antonio, TX 78217-5211 Ph: (210) 828-8400 |
Dr. Dennis Anthony Ruff, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |