| Centro Medico Familiar Ebenezer | |
|
5650 N Foster Rd San Antonio TX 78244-1106 | |
| (210) 997-0103 | |
| (210) 375-6148 |
| Full Name | Centro Medico Familiar Ebenezer |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5650 N Foster Rd, San Antonio, Texas |
| Authorized Official Name and Position | Carlos Alberto Cosme-thillet (OWNER/NP) |
| Authorized Official Contact | 2109970103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Familiar Ebenezer 8212 Heights Vly Converse TX 78109-3502 Ph: (210) 709-8760 | Centro Medico Familiar Ebenezer 5650 N Foster Rd San Antonio TX 78244-1106 Ph: (210) 997-0103 |
| NPI Number | 1841664067 |
|---|---|
| Provider Enumeration Date | 11/27/2015 |
| Last Update Date | 11/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841664067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP 124023 (Texas) | Primary |
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