General Physicians Group, Pa | |
8726 Poteet Jourdanton Fwy San Antonio TX 78224-2412 | |
(210) 977-8100 | |
(210) 921-1163 |
Full Name | General Physicians Group, Pa |
---|---|
Speciality | Internal Medicine |
Location | 8726 Poteet Jourdanton Fwy, San Antonio, Texas |
Authorized Official Name and Position | Carlos Correa (OWNER) |
Authorized Official Contact | 2109778100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
General Physicians Group, Pa Po Box 780007 San Antonio TX 78278-0007 Ph: (210) 977-8100 | General Physicians Group, Pa 8726 Poteet Jourdanton Fwy San Antonio TX 78224-2412 Ph: (210) 977-8100 |
NPI Number | 1801978945 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 7012014780 |
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Medicare Enrollment ID | O20070515000447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801978945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Carlos Correa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629065776 PECOS PAC ID: 1658478326 Enrollment ID: I20070515000455 |
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