| |
11345 Alamo Ranch Pkwy Suite 103 San Antonio TX 78253-6440 | |
(210) 957-1693 | |
(210) 462-7650 |
Full Name | |
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Speciality | Family Medicine |
Location | 11345 Alamo Ranch Pkwy, San Antonio, Texas |
Authorized Official Name and Position | Teofilo R. Sanchez (CEO-OWNER PLLC) |
Authorized Official Contact | 2109571693 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11345 Alamo Ranch Pkwy Suite 103 San Antonio TX 78253-6440 Ph: (210) 957-1693 | 11345 Alamo Ranch Pkwy Suite 103 San Antonio TX 78253-6440 Ph: (210) 957-1693 |
NPI Number | 1558755306 |
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Provider Enumeration Date | 03/18/2015 |
Last Update Date | 03/18/2015 |
Medicare PECOS PAC ID | 7719281997 |
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Medicare Enrollment ID | O20160209000738 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558755306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5480 (Texas) | Primary |
Provider Name | Teofilo Resendiz Sanchez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801988928 PECOS PAC ID: 8628170651 Enrollment ID: I20070222000364 |
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