| Miwa Medical Group, Pllc | |
|
600 Division Ave Ste G San Antonio TX 78214-1336 | |
| (210) 259-8088 | |
| (210) 265-1142 |
| Full Name | Miwa Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Division Ave Ste G, San Antonio, Texas |
| Authorized Official Name and Position | Edward A Miwa (OWNER) |
| Authorized Official Contact | 2103918400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miwa Medical Group, Pllc Po Box 6818 San Antonio TX 78209-0818 Ph: (830) 309-8621 | Miwa Medical Group, Pllc 600 Division Ave Ste G San Antonio TX 78214-1336 Ph: (210) 259-8088 |
| NPI Number | 1326323056 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326323056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7147 (Texas) | Primary |
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