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8042 Wurzbach Rd Ste 230 San Antonio TX 78229-3806 | |
| (210) 963-6100 | |
| (210) 461-5060 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 8042 Wurzbach Rd Ste 230, San Antonio, Texas |
| Authorized Official Name and Position | Sonika Gupta (MD/OWNER) |
| Authorized Official Contact | 2102339678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8042 Wurzbach Rd., Ste. 230 San Antonio TX 78229 Ph: (210) 963-6100 | 8042 Wurzbach Rd Ste 230 San Antonio TX 78229-3806 Ph: (210) 963-6100 |
| NPI Number | 1033513205 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 5193048825 |
|---|---|
| Medicare Enrollment ID | O20150102001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033513205 | NPI | - | NPPES |
| 344754201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Iris Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508876970 PECOS PAC ID: 5991807943 Enrollment ID: I20070222000592 |
| Provider Name | Sonika Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437105715 PECOS PAC ID: 3779595889 Enrollment ID: I20110912000640 |
| Provider Name | Nancy Chavez Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720666126 PECOS PAC ID: 0547659245 Enrollment ID: I20211118002348 |
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