| Inpatient Care Of South Texas Pllc | |
|
1310 Mccullough Ave San Antonio TX 78212-5601 | |
| (210) 837-4628 | |
| Not Available |
| Full Name | Inpatient Care Of South Texas Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 1310 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Pablo A Lozada (PRESIDENT) |
| Authorized Official Contact | 2108374628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Care Of South Texas Pllc Po Box 268977 Oklahoma City OK 73126-8977 Ph: (210) 837-4628 | Inpatient Care Of South Texas Pllc 1310 Mccullough Ave San Antonio TX 78212-5601 Ph: (210) 837-4628 |
| NPI Number | 1124464235 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 0143461772 |
|---|---|
| Medicare Enrollment ID | O20130724000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124464235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Pablo A Lozada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285735787 PECOS PAC ID: 1850493420 Enrollment ID: I20070228000316 |
| Provider Name | Randy L Panther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285694455 PECOS PAC ID: 3577463876 Enrollment ID: I20080623000229 |
| Provider Name | Jessica Buzenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538311022 PECOS PAC ID: 4981769817 Enrollment ID: I20090210000314 |
| Provider Name | Shiv Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841591229 PECOS PAC ID: 1254524853 Enrollment ID: I20101014001153 |
| Provider Name | Carlos Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785535 PECOS PAC ID: 8426125576 Enrollment ID: I20120324000106 |
| Provider Name | Utpal Mondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726923 PECOS PAC ID: 4587857867 Enrollment ID: I20141006000899 |
| Provider Name | Michael J Statton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955192 PECOS PAC ID: 8527206291 Enrollment ID: I20141202000466 |
| Provider Name | Mary E Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882757 PECOS PAC ID: 8426341553 Enrollment ID: I20160726002766 |
| Provider Name | Suzanne R Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407209133 PECOS PAC ID: 7911287404 Enrollment ID: I20161129000290 |
| Provider Name | Diego R Valencia Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588896922 PECOS PAC ID: 6709037344 Enrollment ID: I20170123001352 |
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