Boerne Family Medicine | |
112 Herff Rd Ste 110 Boerne TX 78006-2751 | |
(830) 331-8585 | |
(830) 331-8586 |
Full Name | Boerne Family Medicine |
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Speciality | Family Medicine |
Location | 112 Herff Rd Ste 110, Boerne, Texas |
Authorized Official Name and Position | Benjamin Adam Stahl (OWNER) |
Authorized Official Contact | 8303318585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Boerne Family Medicine 112 Herff Rd Ste 110 Boerne TX 78006-2751 Ph: (830) 331-8585 | Boerne Family Medicine 112 Herff Rd Ste 110 Boerne TX 78006-2751 Ph: (830) 331-8585 |
NPI Number | 1649400391 |
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Provider Enumeration Date | 07/15/2009 |
Last Update Date | 05/05/2022 |
Medicare PECOS PAC ID | 5395882823 |
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Medicare Enrollment ID | O20091102000310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649400391 | NPI | - | NPPES |
012087660 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N1905 (Texas) | Primary |
Provider Name | Kristin Michele Steinke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649201260 PECOS PAC ID: 0042296782 Enrollment ID: I20070222000328 |
Provider Name | Benjamin Adam Stahl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104958230 PECOS PAC ID: 2769529296 Enrollment ID: I20091102000307 |
Provider Name | Larissa Nyvia Riojas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104239425 PECOS PAC ID: 3971828922 Enrollment ID: I20170724001475 |
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