Michelle Anson Md Pllc | |
14855 Blanco Rd San Antonio TX 78216-7732 | |
(210) 641-3335 | |
(210) 568-6101 |
Full Name | Michelle Anson Md Pllc |
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Speciality | Family Medicine |
Location | 14855 Blanco Rd, San Antonio, Texas |
Authorized Official Name and Position | Michelle Anson (OWNER) |
Authorized Official Contact | 2108463798 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Anson Md Pllc 3403 Mont Blanc San Antonio TX 78258-1622 Ph: () - | Michelle Anson Md Pllc 14855 Blanco Rd San Antonio TX 78216-7732 Ph: (210) 641-3335 |
NPI Number | 1538598537 |
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Provider Enumeration Date | 11/11/2013 |
Last Update Date | 11/11/2013 |
Medicare PECOS PAC ID | 5395009385 |
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Medicare Enrollment ID | O20210817002870 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538598537 | NPI | - | NPPES |
1316928575 | Other | TX | NPI INDIVIDUAL PRACTITIONERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L7962 (Texas) | Primary |
Provider Name | Michelle Greenberg Anson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316928575 PECOS PAC ID: 4880673854 Enrollment ID: I20040714001436 |
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