| Mp Md Pa | |
|
10865 Shaenfield Rd Ste 1101 San Antonio TX 78254-9617 | |
| (210) 698-7825 | |
| Not Available |
| Full Name | Mp Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10865 Shaenfield Rd Ste 1101, San Antonio, Texas |
| Authorized Official Name and Position | Marianne J Pinkston (MD/OWNER) |
| Authorized Official Contact | 2106987825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mp Md Pa 10865 Shaenfield Rd Ste 1101 San Antonio TX 78254-9617 Ph: () - | Mp Md Pa 10865 Shaenfield Rd Ste 1101 San Antonio TX 78254-9617 Ph: (210) 698-7825 |
| NPI Number | 1528602323 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 0547697849 |
|---|---|
| Medicare Enrollment ID | O20200226002235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528602323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marianne J Pinkston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699756387 PECOS PAC ID: 9739160821 Enrollment ID: I20150204001103 |
| Provider Name | Ryan P Wencl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740936046 PECOS PAC ID: 6103201116 Enrollment ID: I20220912002034 |
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