| A-v Support Services | |
|
4302 First View Dr San Antonio TX 78217-3634 | |
| (210) 837-7735 | |
| (210) 245-6697 |
| Full Name | A-v Support Services |
|---|---|
| Speciality | Social Worker |
| Location | 4302 First View Dr, San Antonio, Texas |
| Authorized Official Name and Position | Eduardo Andres Vargas (OWNER) |
| Authorized Official Contact | 2108377735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A-v Support Services 4302 First View Dr San Antonio TX 78217-3634 Ph: (210) 837-7735 | A-v Support Services 4302 First View Dr San Antonio TX 78217-3634 Ph: (210) 837-7735 |
| NPI Number | 1699382663 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 8123439114 |
|---|---|
| Medicare Enrollment ID | O20201123003419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699382663 | NPI | - | NPPES |
| Provider Name | Eduardo A Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447766803 PECOS PAC ID: 5799045134 Enrollment ID: I20180205000829 |
| Provider Name | Nnene N Egbe-tambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417541194 PECOS PAC ID: 6901298728 Enrollment ID: I20220127001858 |
| Provider Name | Juella Sadicon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437803814 PECOS PAC ID: 1850786252 Enrollment ID: I20230524002378 |
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