Daniel Juarez, Md Pa | |
1303 Mccullough Ave Ste. 248 San Antonio TX 78212-5609 | |
(210) 220-3737 | |
(210) 220-3747 |
Full Name | Daniel Juarez, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 1303 Mccullough Ave, San Antonio, Texas |
Authorized Official Name and Position | Daniel Juarez (EXECUTIVE OFFICER) |
Authorized Official Contact | 2102203737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel Juarez, Md Pa Po Box 847 San Antonio TX 78293-0847 Ph: (210) 220-3737 | Daniel Juarez, Md Pa 1303 Mccullough Ave Ste. 248 San Antonio TX 78212-5609 Ph: (210) 220-3737 |
NPI Number | 1265535405 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9830098508 |
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Medicare Enrollment ID | O20040102000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265535405 | NPI | - | NPPES |
0027KV | Other | TX | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Juarez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942303193 PECOS PAC ID: 3173422847 Enrollment ID: I20040102000312 |
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