| Austin Hwy-village Drive Clinic | |
|
8530 Village Dr San Antonio TX 78217-5504 | |
| (210) 828-4404 | |
| (210) 828-4982 |
| Full Name | Austin Hwy-village Drive Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8530 Village Dr, San Antonio, Texas |
| Authorized Official Name and Position | Elias Jurado Lorenzana (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2108284404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Hwy-village Drive Clinic 8530 Village Dr San Antonio TX 78217-5504 Ph: (210) 828-4404 | Austin Hwy-village Drive Clinic 8530 Village Dr San Antonio TX 78217-5504 Ph: (210) 828-4404 |
| NPI Number | 1154749737 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154749737 | NPI | - | NPPES |
| 1700867934 | Other | TX | NPI |
| 00FT10 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E6481 (Texas) | Primary |
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