| Crestview Health Pllc | |
|
12650 Nacogdoches Rd San Antonio TX 78217-2118 | |
| (440) 681-0664 | |
| Not Available |
| Full Name | Crestview Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12650 Nacogdoches Rd, San Antonio, Texas |
| Authorized Official Name and Position | Christopher Ajufo (OWNER) |
| Authorized Official Contact | 4406810664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Health Pllc 12650 Nacogdoches Rd San Antonio TX 78217-2118 Ph: (440) 681-0664 | Crestview Health Pllc 12650 Nacogdoches Rd San Antonio TX 78217-2118 Ph: (440) 681-0664 |
| NPI Number | 1750846135 |
|---|---|
| Provider Enumeration Date | 02/09/2019 |
| Last Update Date | 10/08/2023 |
| Medicare PECOS PAC ID | 7315272002 |
|---|---|
| Medicare Enrollment ID | O20190717003421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750846135 | NPI | - | NPPES |
| Provider Name | Christopher A Ajufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811220015 PECOS PAC ID: 5698937696 Enrollment ID: I20140722000603 |
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