| Leon Springs Family Practice, Pa | |
|
24165 W Ih 10 Suite 118 San Antonio TX 78257-1159 | |
| (210) 698-7777 | |
| (210) 698-1383 |
| Full Name | Leon Springs Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 24165 W Ih 10, San Antonio, Texas |
| Authorized Official Name and Position | James Gregory Gregory Jennings (PRESIDENT) |
| Authorized Official Contact | 2106987777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Springs Family Practice, Pa 24165 W Ih 10 Suite 118 San Antonio TX 78257-1159 Ph: (210) 698-7777 | Leon Springs Family Practice, Pa 24165 W Ih 10 Suite 118 San Antonio TX 78257-1159 Ph: (210) 698-7777 |
| NPI Number | 1588787212 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 1153481957 |
|---|---|
| Medicare Enrollment ID | O20081124000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588787212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F9953 (Texas) | Primary |
| Provider Name | James G Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295838415 PECOS PAC ID: 4688734486 Enrollment ID: I20081125000027 |
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