| Geronimo Village Pediatrics, Pllc | |
|
121 Dennis Dr Seguin TX 78155-0402 | |
| (830) 372-8981 | |
| (830) 372-8984 |
| Full Name | Geronimo Village Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 121 Dennis Dr, Seguin, Texas |
| Authorized Official Name and Position | Jodi Gayle Koenig (OWNER) |
| Authorized Official Contact | 8303728981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geronimo Village Pediatrics, Pllc 121 Dennis Dr Seguin TX 78155-0402 Ph: (830) 372-8981 | Geronimo Village Pediatrics, Pllc 121 Dennis Dr Seguin TX 78155-0402 Ph: (830) 372-8981 |
| NPI Number | 1356800791 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356800791 | NPI | - | NPPES |
| 339554303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Tony N Tsen Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 S State Hwy 123 Bypass, Seguin, TX 78155 Phone: 830-372-9042 Fax: 830-372-2391 | |
James C Lee Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N King St Ste 102, Seguin, TX 78155 Phone: 830-379-7901 Fax: 830-401-0737 | |
Arlynn H Hartfiel Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N King St Ste 103, Seguin, TX 78155 Phone: 830-372-1980 Fax: 830-372-2930 | |
Phillip C Rinn Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N King St, Suite 107, Seguin, TX 78155 Phone: 830-372-0994 Fax: 830-379-3049 | |
Seguin Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1104 Jefferson St., Seguin, TX 78155 Phone: 830-379-9797 Fax: 830-379-0248 | |
Edward A Balli, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 E Walnut St, Suite 400, Seguin, TX 78155 Phone: 830-379-6823 Fax: 830-379-3898 |