| Imc - Internal Medicine Consultants Pa | |
|
218 Sidney Baker St Kerrville TX 78028-5367 | |
| (830) 896-6100 | |
| Not Available |
| Full Name | Imc - Internal Medicine Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 218 Sidney Baker St, Kerrville, Texas |
| Authorized Official Name and Position | James A Young (OWNER) |
| Authorized Official Contact | 8308966100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imc - Internal Medicine Consultants Pa 218 Sidney Baker St Kerrville TX 78028-5367 Ph: (830) 896-6100 | Imc - Internal Medicine Consultants Pa 218 Sidney Baker St Kerrville TX 78028-5367 Ph: (830) 896-6100 |
| NPI Number | 1558479931 |
|---|---|
| Provider Enumeration Date | 08/27/2006 |
| Last Update Date | 09/26/2013 |
| Medicare PECOS PAC ID | 3476519091 |
|---|---|
| Medicare Enrollment ID | O20041206000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558479931 | NPI | - | NPPES |
| 00586R | Other | TX | BC/BS |
| 083860902 | Medicaid | TX | |
| 00586R | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James A Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760590137 PECOS PAC ID: 4284690801 Enrollment ID: I20100830001134 |
| Provider Name | Odemaris Santiago-young |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487762845 PECOS PAC ID: 5991761512 Enrollment ID: I20100831000148 |
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