| Center For Internal Medicine, Pa | |
|
8265 Fredericksburg Rd San Antonio TX 78229-3357 | |
| (210) 200-8798 | |
| (877) 904-3712 |
| Full Name | Center For Internal Medicine, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 8265 Fredericksburg Rd, San Antonio, Texas |
| Authorized Official Name and Position | Juan Carlos Gonzalez (PRESIDENT) |
| Authorized Official Contact | 2102008798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Internal Medicine, Pa Po Box 291096 San Antonio TX 78229-1696 Ph: (210) 200-8798 | Center For Internal Medicine, Pa 8265 Fredericksburg Rd San Antonio TX 78229-3357 Ph: (210) 200-8798 |
| NPI Number | 1023206513 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 2062596026 |
|---|---|
| Medicare Enrollment ID | O20080228000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023206513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L7397 (Texas) | Primary |
| Provider Name | Juan C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659370963 PECOS PAC ID: 4880618594 Enrollment ID: I20060120000708 |
| Provider Name | Carlos Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785535 PECOS PAC ID: 8426125576 Enrollment ID: I20120324000106 |
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