| Hereos Healthcare Primary Care | |
|
8500 Village Dr Ste 202 San Antonio TX 78217-5510 | |
| (210) 957-1419 | |
| (210) 957-1697 |
| Full Name | Hereos Healthcare Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8500 Village Dr Ste 202, San Antonio, Texas |
| Authorized Official Name and Position | Trent J Fackelman (PRESIDENT/CEO) |
| Authorized Official Contact | 2109571419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hereos Healthcare Primary Care 8500 Village Dr Ste 202 San Antonio TX 78217-5510 Ph: () - | Hereos Healthcare Primary Care 8500 Village Dr Ste 202 San Antonio TX 78217-5510 Ph: (210) 957-1419 |
| NPI Number | 1770184012 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770184012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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