| Babcock Medical Associates, P.a. | |
|
5282 Medical Dr Suite 312 San Antonio TX 78229-6022 | |
| (210) 699-3815 | |
| (210) 699-1896 |
| Full Name | Babcock Medical Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5282 Medical Dr, San Antonio, Texas |
| Authorized Official Name and Position | Pamela J Weatherford (OFFICE MANAGER) |
| Authorized Official Contact | 2106993815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babcock Medical Associates, P.a. 115 Tuscany Way Shavano Park TX 78249-2061 Ph: (210) 558-6288 | Babcock Medical Associates, P.a. 5282 Medical Dr Suite 312 San Antonio TX 78229-6022 Ph: (210) 699-3815 |
| NPI Number | 1366423683 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 11/19/2024 |
| Medicare PECOS PAC ID | 1658366901 |
|---|---|
| Medicare Enrollment ID | O20040416001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366423683 | NPI | - | NPPES |
| 094995002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Michele M Denyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114034105 PECOS PAC ID: 2567417702 Enrollment ID: I20050321000516 |
| Provider Name | Antonio Luis Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508856170 PECOS PAC ID: 7214060052 Enrollment ID: I20100802000886 |
| Provider Name | Marvin Rene Moszkowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184612020 PECOS PAC ID: 5294621496 Enrollment ID: I20100802000973 |
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