| Imed Internal Medicine Pa | |
|
255 E Sonterra Blvd Suite 100 San Antonio TX 78258-3990 | |
| (210) 404-0000 | |
| (210) 581-0120 |
| Full Name | Imed Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 E Sonterra Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Vernon Roger Benson (PRESIDENT) |
| Authorized Official Contact | 2104040000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Internal Medicine Pa Po Box 867 San Antonio TX 78293-0867 Ph: (210) 404-0000 | Imed Internal Medicine Pa 255 E Sonterra Blvd Suite 100 San Antonio TX 78258-3990 Ph: (210) 404-0000 |
| NPI Number | 1548245178 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548245178 | NPI | - | NPPES |
| 0051EB | Other | TX | BLUE CROSS IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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