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18414 Us Highway 281 N Ste 104 San Antonio TX 78259 | |
| (210) 495-0222 | |
| (210) 495-5914 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 18414 Us Highway 281 N Ste 104, San Antonio, Texas |
| Authorized Official Name and Position | Gemma Rosello (VP) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 Ph: (305) 500-2000 | 18414 Us Highway 281 N Ste 104 San Antonio TX 78259 Ph: (210) 495-0222 |
| NPI Number | 1972842664 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972842664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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