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1603 Babcock Rd Ste 238-5 San Antonio TX 78229-4708 | |
| (210) 849-6895 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1603 Babcock Rd Ste 238-5, San Antonio, Texas |
| Authorized Official Name and Position | Leonel Reyes (SUPERVISING MD) |
| Authorized Official Contact | 2108496895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6956 Indiana Ave Ste 5 Riverside CA 92506-4109 Ph: (951) 423-2202 | 1603 Babcock Rd Ste 238-5 San Antonio TX 78229-4708 Ph: (210) 849-6895 |
| NPI Number | 1447886544 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447886544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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