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1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7851 | |
| (210) 492-9144 | |
| (210) 492-9024 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1202 W Bitters Rd, San Antonio, Texas |
| Authorized Official Name and Position | Leticia A. Cerde (OWNER) |
| Authorized Official Contact | 2104929144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7851 Ph: (210) 492-9144 | 1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7851 Ph: (210) 492-9144 |
| NPI Number | 1609066547 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609066547 | NPI | - | NPPES |
| 8B0S40 | Other | TX | BCBS |
| 0021GN | Other | TX | BCBS |
| 5607437 | Other | TX | AETNA |
| 00714Q | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1347 (Texas) | Primary |
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