Christus Vna Palliative Care San Antonio | |
5253 Prue Rd Ste 315c San Antonio TX 78240-1758 | |
(210) 750-8100 | |
Not Available |
Full Name | Christus Vna Palliative Care San Antonio |
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Speciality | Family Medicine |
Location | 5253 Prue Rd Ste 315c, San Antonio, Texas |
Authorized Official Name and Position | Nicholas Gachassin (SECRETARY/TREASURER) |
Authorized Official Contact | 3372331307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christus Vna Palliative Care San Antonio Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Christus Vna Palliative Care San Antonio 5253 Prue Rd Ste 315c San Antonio TX 78240-1758 Ph: (210) 750-8100 |
NPI Number | 1043774383 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 03/26/2021 |
Medicare PECOS PAC ID | 8921341561 |
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Medicare Enrollment ID | O20190522000919 |
Identifier | Type | State | Issuer |
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1043774383 | NPI | - | NPPES |
Provider Name | Deanna Sue Gray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639194012 PECOS PAC ID: 7517984420 Enrollment ID: I20150429001261 |
Provider Name | Lysa A Hieber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083082531 PECOS PAC ID: 2668745910 Enrollment ID: I20170907002612 |
Provider Name | Greta Mills Mann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376008276 PECOS PAC ID: 3375886922 Enrollment ID: I20190522001018 |
Provider Name | Jo A. Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528692290 PECOS PAC ID: 0648609958 Enrollment ID: I20200408003069 |
Provider Name | Dominique B Yang-kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225299688 PECOS PAC ID: 3274793864 Enrollment ID: I20201204000588 |
Provider Name | Lindsey Larkin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194398743 PECOS PAC ID: 7810389442 Enrollment ID: I20230906001268 |
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