| Centromed Family First Clinic | |
|
9135 Schaefer Rd Ste 4 Converse TX 78109-1980 | |
| (210) 922-7000 | |
| (210) 928-9699 |
| Full Name | Centromed Family First Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9135 Schaefer Rd Ste 4, Converse, Texas |
| Authorized Official Name and Position | Lawrence C Walzel (VP/CFO) |
| Authorized Official Contact | 2103343724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centromed Family First Clinic 3750 Commercial Ave San Antonio TX 78221-3117 Ph: (210) 922-7000 | Centromed Family First Clinic 9135 Schaefer Rd Ste 4 Converse TX 78109-1980 Ph: (210) 922-7000 |
| NPI Number | 1659849875 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 6800881285 |
|---|---|
| Medicare Enrollment ID | O20181128000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659849875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Prohealth Inpatient Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7585 Kitty Hawk Rd Ste 201, Converse, TX 78109 Phone: 210-468-2333 Fax: 210-667-4044 | |
Northeast Prohealth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7585 Kitty Hawk, Suite 201, Converse, TX 78109 Phone: 210-468-2333 Fax: 210-667-4044 |