Essential Med Clinic | |
2810 N Loop 1604 W San Antonio TX 78248-2222 | |
(305) 794-0119 | |
Not Available |
Full Name | Essential Med Clinic |
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Speciality | Family Medicine |
Location | 2810 N Loop 1604 W, San Antonio, Texas |
Authorized Official Name and Position | Freda Cobbinah (PHYSICIAN/MEDICAL DIRECTOR) |
Authorized Official Contact | 3057940119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essential Med Clinic 18327 Camino Del Mar San Antonio TX 78257-5005 Ph: (305) 794-0119 | Essential Med Clinic 2810 N Loop 1604 W San Antonio TX 78248-2222 Ph: (305) 794-0119 |
NPI Number | 1376033951 |
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Provider Enumeration Date | 05/18/2018 |
Last Update Date | 05/18/2018 |
Medicare PECOS PAC ID | 2961750369 |
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Medicare Enrollment ID | O20180801001555 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376033951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | P6800 (Texas) | Primary |
Provider Name | Maude L Escalante |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376595983 PECOS PAC ID: 5698705333 Enrollment ID: I20050812000827 |
Provider Name | Freda N Cobbinah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780927848 PECOS PAC ID: 2264650357 Enrollment ID: I20140903001013 |
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