| Integrated Medical Services Llc | |
|
13300 Old Blanco Rd Ste 340 San Antonio TX 78216-7737 | |
| (210) 600-4105 | |
| Not Available |
| Full Name | Integrated Medical Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 13300 Old Blanco Rd Ste 340, San Antonio, Texas |
| Authorized Official Name and Position | Charlotte Ballard (OWNER) |
| Authorized Official Contact | 2106004105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Services Llc 13300 Old Blanco Rd Ste 340 San Antonio TX 78216-7737 Ph: (210) 600-4105 | Integrated Medical Services Llc 13300 Old Blanco Rd Ste 340 San Antonio TX 78216-7737 Ph: (210) 600-4105 |
| NPI Number | 1588158752 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 6305195389 |
|---|---|
| Medicare Enrollment ID | O20180824000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588158752 | NPI | - | NPPES |
| Provider Name | Charlotte D Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902893324 PECOS PAC ID: 9436188232 Enrollment ID: I20050811000683 |
| Provider Name | Amanda Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497837629 PECOS PAC ID: 1759568322 Enrollment ID: I20110608000085 |
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