| Carefront Medical Group, Pllc | |
|
10423 State Highway 151 Ste 103 San Antonio TX 78251-4768 | |
| (210) 876-1451 | |
| (210) 455-0342 |
| Full Name | Carefront Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10423 State Highway 151 Ste 103, San Antonio, Texas |
| Authorized Official Name and Position | Lajja J. Patel (OWNER) |
| Authorized Official Contact | 2108761451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefront Medical Group, Pllc 10423 State Highway 151 Ste 103 San Antonio TX 78251-4768 Ph: (210) 876-1451 | Carefront Medical Group, Pllc 10423 State Highway 151 Ste 103 San Antonio TX 78251-4768 Ph: (210) 876-1451 |
| NPI Number | 1982169223 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 4981944162 |
|---|---|
| Medicare Enrollment ID | O20190326001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982169223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lajja J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144454406 PECOS PAC ID: 7719156496 Enrollment ID: I20140328000900 |
| Provider Name | Lisa Karen Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487265013 PECOS PAC ID: 9234520362 Enrollment ID: I20211229000447 |
| Provider Name | Kali Chantelle Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073162772 PECOS PAC ID: 8921432162 Enrollment ID: I20220104000098 |
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