| |
8210 Callaghan Road San Antonio TX 78230 | |
(210) 233-7070 | |
(210) 277-5197 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8210 Callaghan Road, San Antonio, Texas |
Authorized Official Name and Position | Hung-vy M Nguyen (CEO) |
Authorized Official Contact | 2102337070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3066 E Commerce St San Antonio TX 78220-1013 Ph: (210) 233-7070 | 8210 Callaghan Road San Antonio TX 78230 Ph: (210) 233-7070 |
NPI Number | 1427357458 |
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Provider Enumeration Date | 03/16/2011 |
Last Update Date | 01/16/2023 |
Medicare PECOS PAC ID | 1153226691 |
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Medicare Enrollment ID | O20121113000071 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427357458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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