Bandera Family Health Care, P. A. | |
7579 N Loop 1604 W Suite 100 San Antonio TX 78249-2781 | |
(210) 695-1900 | |
(210) 695-1901 |
Full Name | Bandera Family Health Care, P. A. |
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Speciality | Family Medicine |
Location | 7579 N Loop 1604 W, San Antonio, Texas |
Authorized Official Name and Position | Ramon G Reyes (OWNER) |
Authorized Official Contact | 2106951900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bandera Family Health Care, P. A. Po Box 268945 Oklahoma City OK 73126-8945 Ph: (210) 695-1900 | Bandera Family Health Care, P. A. 7579 N Loop 1604 W Suite 100 San Antonio TX 78249-2781 Ph: (210) 695-1900 |
NPI Number | 1619089216 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 03/11/2019 |
Medicare PECOS PAC ID | 4486655701 |
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Medicare Enrollment ID | O20070129000496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619089216 | NPI | - | NPPES |
0024QF | Other | TX | BC/BS |
188611102 | Medicaid | TX | |
188611101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J1367 (Texas) | Primary |
Provider Name | Ronald K Garcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124121637 PECOS PAC ID: 5991618233 Enrollment ID: I20031111000920 |
Provider Name | Cristina Cortez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528055167 PECOS PAC ID: 5092799304 Enrollment ID: I20040615000874 |
Provider Name | Keith D Beck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740280999 PECOS PAC ID: 5597787630 Enrollment ID: I20060103000703 |
Provider Name | Ramon G Reyes Almodovar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811984727 PECOS PAC ID: 8820193865 Enrollment ID: I20070419000278 |
Provider Name | Leticia Ann Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295052207 PECOS PAC ID: 9436347267 Enrollment ID: I20101221000779 |
Provider Name | Jeffrey M Locke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174079214 PECOS PAC ID: 8729330832 Enrollment ID: I20181017001776 |
Provider Name | Willetta Hickson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699264531 PECOS PAC ID: 5193064244 Enrollment ID: I20190307000034 |
Provider Name | Barbara Perez-guevara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043728371 PECOS PAC ID: 1254672066 Enrollment ID: I20190404000774 |
Provider Name | Karen Vanessa Stewart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295755981 PECOS PAC ID: 4183627037 Enrollment ID: I20210608002411 |
Provider Name | Kirby Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619617206 PECOS PAC ID: 0648658161 Enrollment ID: I20220610002288 |
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