| Quality Care Medical Group, P.a. | |
|
4115 Medical Dr Suite 500 San Antonio TX 78229-5657 | |
| (210) 615-1170 | |
| (210) 614-6996 |
| Full Name | Quality Care Medical Group, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4115 Medical Dr, San Antonio, Texas |
| Authorized Official Name and Position | Joanne Caldera De La Fuente (AUTHORIZED AGENT) |
| Authorized Official Contact | 2106151170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Care Medical Group, P.a. 4115 Medical Dr Suite 500 San Antonio TX 78229-5657 Ph: (210) 615-1170 | Quality Care Medical Group, P.a. 4115 Medical Dr Suite 500 San Antonio TX 78229-5657 Ph: (210) 615-1170 |
| NPI Number | 1386813426 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386813426 | NPI | - | NPPES |
| 0063MG | Other | TX | BLUE CROSS BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Texas) | Primary |
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