| John Adams, Md Psychiatry Pllc | |
|
17720 Corporate Woods Drive San Antonio TX 78259 | |
| (210) 491-9400 | |
| (210) 491-3517 |
| Full Name | John Adams, Md Psychiatry Pllc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 17720 Corporate Woods Drive, San Antonio, Texas |
| Authorized Official Name and Position | John Adams (OWNER) |
| Authorized Official Contact | 3307584515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Adams, Md Psychiatry Pllc 1141 North Loop 1604 East # 105-158 San Antonio TX 78232 Ph: (330) 758-4512 | John Adams, Md Psychiatry Pllc 17720 Corporate Woods Drive San Antonio TX 78259 Ph: (210) 491-9400 |
| NPI Number | 1174882369 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 5890942940 |
|---|---|
| Medicare Enrollment ID | O20120824000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174882369 | NPI | - | NPPES |
| 613972 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | M8465 (Texas) | Primary |
| Provider Name | John Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831393420 PECOS PAC ID: 6800949637 Enrollment ID: I20090727000697 |
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