| Bmc Physicians Pllc | |
|
20403 Encino Ledge Unit 591711 San Antonio TX 78259-0831 | |
| (210) 865-0630 | |
| Not Available |
| Full Name | Bmc Physicians Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20403 Encino Ledge Unit 591711, San Antonio, Texas |
| Authorized Official Name and Position | Jaime A Diz (OWNER) |
| Authorized Official Contact | 2108650630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmc Physicians Pllc 20403 Encino Ledge Unit 591711 San Antonio TX 78259-0831 Ph: (210) 865-0630 | Bmc Physicians Pllc 20403 Encino Ledge Unit 591711 San Antonio TX 78259-0831 Ph: (210) 865-0630 |
| NPI Number | 1699228106 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 3678855095 |
|---|---|
| Medicare Enrollment ID | O20170119002514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699228106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaime A Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962538439 PECOS PAC ID: 4880758788 Enrollment ID: I20090121000292 |
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