| Endocrinology Nuclear Medicine Associates Pa | |
|
1303 Mccullough Ave Suite 374 San Antonio TX 78212-5615 | |
| (210) 223-5483 | |
| (210) 223-5492 |
| Full Name | Endocrinology Nuclear Medicine Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1303 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Yolanda M Lopez (OFFICE MANAGER) |
| Authorized Official Contact | 2102235483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Nuclear Medicine Associates Pa 1303 Mccullough Ave Suite 374 San Antonio TX 78212-5615 Ph: (210) 223-5483 | Endocrinology Nuclear Medicine Associates Pa 1303 Mccullough Ave Suite 374 San Antonio TX 78212-5615 Ph: (210) 223-5483 |
| NPI Number | 1366581589 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/22/2011 |
| Medicare PECOS PAC ID | 5597740100 |
|---|---|
| Medicare Enrollment ID | O20040621000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366581589 | NPI | - | NPPES |
| 083522501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Nancy A Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922147271 PECOS PAC ID: 8325023930 Enrollment ID: I20040618001255 |
| Provider Name | Jeannie A Baquero |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255301149 PECOS PAC ID: 1759433816 Enrollment ID: I20090721000243 |
| Provider Name | Harry L Uy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962541466 PECOS PAC ID: 6002966124 Enrollment ID: I20100113000285 |
| Provider Name | Joseph R Becker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235313321 PECOS PAC ID: 9133252182 Enrollment ID: I20100728000658 |
| Provider Name | Sapna M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508286527 PECOS PAC ID: 8628304649 Enrollment ID: I20190730001147 |
| Provider Name | Petra Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959120 PECOS PAC ID: 0648628040 Enrollment ID: I20231124000437 |
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