| Lonestar Visiting Physicians Llc | |
|
4115 Medical Dr Ste 301 San Antonio TX 78229-5622 | |
| (210) 394-5991 | |
| (210) 890-8711 |
| Full Name | Lonestar Visiting Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4115 Medical Dr Ste 301, San Antonio, Texas |
| Authorized Official Name and Position | Erica Sandoval (OWNER) |
| Authorized Official Contact | 2103945991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonestar Visiting Physicians Llc 406 Halliday Ave San Antonio TX 78210-4057 Ph: (210) 394-5991 | Lonestar Visiting Physicians Llc 4115 Medical Dr Ste 301 San Antonio TX 78229-5622 Ph: (210) 394-5991 |
| NPI Number | 1609414937 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 08/31/2021 |
| Medicare PECOS PAC ID | 7517395312 |
|---|---|
| Medicare Enrollment ID | O20200310000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609414937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Joseph Galizia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437105863 PECOS PAC ID: 3971514175 Enrollment ID: I20060602000092 |
| Provider Name | David A Marks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821016023 PECOS PAC ID: 1254416340 Enrollment ID: I20080313000474 |
| Provider Name | Dusty R Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396045506 PECOS PAC ID: 4486837044 Enrollment ID: I20110321000403 |
| Provider Name | Ernesto M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487011425 PECOS PAC ID: 4688973225 Enrollment ID: I20160503000551 |
| Provider Name | Mohamad Salah El Bash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20170202002087 |
| Provider Name | Roberto Jaime Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841887502 PECOS PAC ID: 2769885987 Enrollment ID: I20210726003588 |
| Provider Name | Lydia Giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558305 PECOS PAC ID: 8527433796 Enrollment ID: I20230406000020 |
| Provider Name | Priscilla Renee Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591668 PECOS PAC ID: 9133588569 Enrollment ID: I20230703002602 |
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