| Mark Drogin, M.d. P.a. | |
|
23445 Us Highway 281 N Building #2 San Antonio TX 78258-7317 | |
| (210) 491-4300 | |
| (210) 495-1029 |
| Full Name | Mark Drogin, M.d. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 23445 Us Highway 281 N, San Antonio, Texas |
| Authorized Official Name and Position | Mark Drogin (OWNER) |
| Authorized Official Contact | 2104914300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Drogin, M.d. P.a. Po Box 957 San Antonio TX 78294-0957 Ph: (210) 491-4300 | Mark Drogin, M.d. P.a. 23445 Us Highway 281 N Building #2 San Antonio TX 78258-7317 Ph: (210) 491-4300 |
| NPI Number | 1811194665 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 11/29/2011 |
| Medicare PECOS PAC ID | 6901829118 |
|---|---|
| Medicare Enrollment ID | O20060112000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811194665 | NPI | - | NPPES |
| 00076MY | Other | TX | BCBS GROUP # |
| 8V4340 | Other | TX | BCBS INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F9380 (Texas) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F9380 (Texas) | Secondary |
| Provider Name | Mark Drogin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770522294 PECOS PAC ID: 6800819012 Enrollment ID: I20060112001005 |
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