| Auxilium Mobile Healthcare, Pllc | |
|
11345 Alamo Ranch Pkwy Ste 103 San Antonio TX 78253-6442 | |
| (210) 998-9836 | |
| (210) 462-7650 |
| Full Name | Auxilium Mobile Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11345 Alamo Ranch Pkwy Ste 103, San Antonio, Texas |
| Authorized Official Name and Position | Teofilo Sanchez Iii (PRESIDENT) |
| Authorized Official Contact | 2109989836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auxilium Mobile Healthcare, Pllc 11345 Alamo Ranch Pkwy Ste 103 San Antonio TX 78253-6442 Ph: (210) 998-9836 | Auxilium Mobile Healthcare, Pllc 11345 Alamo Ranch Pkwy Ste 103 San Antonio TX 78253-6442 Ph: (210) 998-9836 |
| NPI Number | 1902573900 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Medicare PECOS PAC ID | 2062818198 |
|---|---|
| Medicare Enrollment ID | O20210915000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902573900 | NPI | - | NPPES |
| M5480 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Teofilo Resendiz Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801988928 PECOS PAC ID: 8628170651 Enrollment ID: I20070222000364 |
| Provider Name | Anthony J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083257521 PECOS PAC ID: 4688007511 Enrollment ID: I20191209000292 |
| Provider Name | Jo A. Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528692290 PECOS PAC ID: 0648609958 Enrollment ID: I20200408003069 |
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