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19288 Stone Oak Pkwy San Antonio TX 78258-3222 | |
| (210) 402-3548 | |
| (210) 402-3551 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 19288 Stone Oak Pkwy, San Antonio, Texas |
| Authorized Official Name and Position | Mohammad Hussain (CEO) |
| Authorized Official Contact | 2109124215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 780665 San Antonio TX 78278-0665 Ph: (210) 402-3548 | 19288 Stone Oak Pkwy San Antonio TX 78258-3222 Ph: (210) 402-3548 |
| NPI Number | 1548496953 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548496953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | K4920 (Texas) | Secondary |
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