Eman Mina, M.d., P.a. | |
18626 Hardy Oak Blvd Suite 230 San Antonio TX 78258-4210 | |
(210) 497-7700 | |
(210) 402-6815 |
Full Name | Eman Mina, M.d., P.a. |
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Speciality | Family Medicine |
Location | 18626 Hardy Oak Blvd, San Antonio, Texas |
Authorized Official Name and Position | Eman Mina (PRESIDENT) |
Authorized Official Contact | 2104977700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eman Mina, M.d., P.a. Po Box 461467 San Antonio TX 78246-1467 Ph: (210) 699-6377 | Eman Mina, M.d., P.a. 18626 Hardy Oak Blvd Suite 230 San Antonio TX 78258-4210 Ph: (210) 497-7700 |
NPI Number | 1457674889 |
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Provider Enumeration Date | 03/12/2010 |
Last Update Date | 07/26/2010 |
Medicare PECOS PAC ID | 5890825970 |
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Medicare Enrollment ID | O20100616000643 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457674889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N0981 (Texas) | Primary |
Provider Name | Eman Gamil-fahim Mina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235313016 PECOS PAC ID: 6103980636 Enrollment ID: I20090128000602 |
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