Coolmed Pllc | |
525 Oak Centre Dr Ste 230 San Antonio TX 78258-3916 | |
(210) 463-9230 | |
Not Available |
Full Name | Coolmed Pllc |
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Speciality | Family Medicine |
Location | 525 Oak Centre Dr Ste 230, San Antonio, Texas |
Authorized Official Name and Position | Melissa Cooley (OWNER) |
Authorized Official Contact | 2103657561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coolmed Pllc 40 Brandt Rd Boerne TX 78006-5707 Ph: () - | Coolmed Pllc 525 Oak Centre Dr Ste 230 San Antonio TX 78258-3916 Ph: (210) 463-9230 |
NPI Number | 1316413438 |
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Provider Enumeration Date | 10/16/2018 |
Last Update Date | 06/18/2024 |
Medicare PECOS PAC ID | 6406190867 |
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Medicare Enrollment ID | O20181212000642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316413438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Secondary |
Provider Name | Melissa P Cooley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336699701 PECOS PAC ID: 0244512846 Enrollment ID: I20170113002324 |
Provider Name | Lisa Gayle Warren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881363018 PECOS PAC ID: 4082068887 Enrollment ID: I20230927004058 |
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