| Macias Healthcare Clinic, Pllc | |
|
7055 Bandera Rd San Antonio TX 78238-1266 | |
| (210) 281-5585 | |
| (210) 281-4498 |
| Full Name | Macias Healthcare Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7055 Bandera Rd, San Antonio, Texas |
| Authorized Official Name and Position | Alykhym Buentipo Zarzuela (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2102815585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macias Healthcare Clinic, Pllc 7055 Bandera Rd San Antonio TX 78238-1266 Ph: (210) 281-5585 | Macias Healthcare Clinic, Pllc 7055 Bandera Rd San Antonio TX 78238-1266 Ph: (210) 281-5585 |
| NPI Number | 1174970933 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 6406136134 |
|---|---|
| Medicare Enrollment ID | O20161214002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174970933 | NPI | - | NPPES |
| 80090139 | Other | TX | DPS |
| J6289 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Alykhym B Zarzuela |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558318378 PECOS PAC ID: 4981675170 Enrollment ID: I20040802001558 |
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