| Medvon Medical Clinic Professional Corporation | |
|
10807 Perrin Beitel Rd Ste 120 San Antonio TX 78217-3144 | |
| (210) 847-1486 | |
| (210) 588-0006 |
| Full Name | Medvon Medical Clinic Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 10807 Perrin Beitel Rd Ste 120, San Antonio, Texas |
| Authorized Official Name and Position | Victor O Njoku (PRESIDENT) |
| Authorized Official Contact | 2105057073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medvon Medical Clinic Professional Corporation 10807 Perrin Beitel Rd Ste 120 San Antonio TX 78217-3144 Ph: (210) 505-7073 | Medvon Medical Clinic Professional Corporation 10807 Perrin Beitel Rd Ste 120 San Antonio TX 78217-3144 Ph: (210) 847-1486 |
| NPI Number | 1407513443 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 03/21/2022 |
| Medicare PECOS PAC ID | 8123419660 |
|---|---|
| Medicare Enrollment ID | O20211217000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407513443 | NPI | - | NPPES |
| 41005659 | Other | TX | DL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20151019000089 |
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