| Independent Medical Associates, P.a. | |
|
2829 Babcock Rd Suite 110 San Antonio TX 78229-6028 | |
| (210) 614-5855 | |
| (210) 614-6240 |
| Full Name | Independent Medical Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2829 Babcock Rd, San Antonio, Texas |
| Authorized Official Name and Position | Tina V Gomez (OFFICE MGR) |
| Authorized Official Contact | 2106143335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Medical Associates, P.a. 2829 Babcock Rd Suite 110 San Antonio TX 78229-6028 Ph: (210) 614-5855 | Independent Medical Associates, P.a. 2829 Babcock Rd Suite 110 San Antonio TX 78229-6028 Ph: (210) 614-5855 |
| NPI Number | 1649251752 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649251752 | NPI | - | NPPES |
| 00U59Q | Other | TX | TX BC/BS GRP# |
| 085706201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F8582 (Texas) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | E5204 (Texas) | Secondary |
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