| Abc Family Medicine Pa | |
|
7400 Crestway San Antonio TX 78233 | |
| (210) 569-9800 | |
| (210) 646-5606 |
| Full Name | Abc Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7400 Crestway, San Antonio, Texas |
| Authorized Official Name and Position | Douglas S Denham (PRESIDENT) |
| Authorized Official Contact | 2105699800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Family Medicine Pa 7400 Crestway San Antonio TX 78233 Ph: (210) 569-9800 | Abc Family Medicine Pa 7400 Crestway San Antonio TX 78233 Ph: (210) 569-9800 |
| NPI Number | 1598970725 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 05/24/2010 |
| Medicare PECOS PAC ID | 2466559836 |
|---|---|
| Medicare Enrollment ID | O20070518000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598970725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | H7995 (Texas) | Primary |
| Provider Name | Douglas Scott Denham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467533893 PECOS PAC ID: 1355448721 Enrollment ID: I20081125000497 |
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