| Impact Physicians Of Texas, P.a. | |
|
21 Spurs Ln San Antonio TX 78240-1634 | |
| (210) 393-5719 | |
| Not Available |
| Full Name | Impact Physicians Of Texas, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Spurs Ln, San Antonio, Texas |
| Authorized Official Name and Position | Michael Lozano (PHYSICIAN) |
| Authorized Official Contact | 2103935719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physicians Of Texas, P.a. Po Box 29288 San Antonio TX 78229-0288 Ph: (210) 393-5719 | Impact Physicians Of Texas, P.a. 21 Spurs Ln San Antonio TX 78240-1634 Ph: (210) 393-5719 |
| NPI Number | 1851514707 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 5698867448 |
|---|---|
| Medicare Enrollment ID | O20070823000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851514707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1245 (Texas) | Primary |
| Provider Name | Michael E Lozano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821195876 PECOS PAC ID: 2567487861 Enrollment ID: I20071101000192 |
| Provider Name | Mitchell Curry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225135262 PECOS PAC ID: 0840382610 Enrollment ID: I20071112000546 |
| Provider Name | George Kimbell Wilcox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609973650 PECOS PAC ID: 0840373239 Enrollment ID: I20080207000670 |
| Provider Name | Kimberly B Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245496876 PECOS PAC ID: 9133305311 Enrollment ID: I20110524000509 |
| Provider Name | Leslee Cathleen Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154756229 PECOS PAC ID: 1254635113 Enrollment ID: I20160212001832 |
| Provider Name | Marisa Brianna Narvaez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679175574 PECOS PAC ID: 5294998340 Enrollment ID: I20201123002278 |
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