| Deerwood Family Practice, Pllc | |
|
4358 Lockhill Selma Rd Ste 110 San Antonio TX 78249 | |
| (210) 492-4300 | |
| (210) 492-4380 |
| Full Name | Deerwood Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4358 Lockhill Selma Rd Ste 110, San Antonio, Texas |
| Authorized Official Name and Position | Denise Garza (BILLING MANAGER) |
| Authorized Official Contact | 2105956696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerwood Family Practice, Pllc 4358 Lockhill Selma Rd Ste 110 San Antonio TX 78249-4167 Ph: (210) 492-4300 | Deerwood Family Practice, Pllc 4358 Lockhill Selma Rd Ste 110 San Antonio TX 78249 Ph: (210) 492-4300 |
| NPI Number | 1699098400 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 10/09/2018 |
| Medicare PECOS PAC ID | 0143351346 |
|---|---|
| Medicare Enrollment ID | O20100702000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699098400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Emily J Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538867569 PECOS PAC ID: 6002276409 Enrollment ID: I20230717003353 |
| Provider Name | Hermien Clyburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588223861 PECOS PAC ID: 0840647392 Enrollment ID: I20231106002334 |
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