| North San Antonio Family Medicine | |
|
4334 N Loop 1604 W Suite 102 San Antonio TX 78249-3484 | |
| (210) 892-2971 | |
| Not Available |
| Full Name | North San Antonio Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4334 N Loop 1604 W, San Antonio, Texas |
| Authorized Official Name and Position | Patricia Anne Mackin (PHYSICIAN OWNER) |
| Authorized Official Contact | 2108671279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North San Antonio Family Medicine 4334 N Loop 1604 W Suite 102 San Antonio TX 78249-3484 Ph: () - | North San Antonio Family Medicine 4334 N Loop 1604 W Suite 102 San Antonio TX 78249-3484 Ph: (210) 892-2971 |
| NPI Number | 1982130894 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 5294007480 |
|---|---|
| Medicare Enrollment ID | O20170823001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982130894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P1351 (Texas) | Primary |
| Provider Name | Patricia A Mackin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134440688 PECOS PAC ID: 6507090255 Enrollment ID: I20131011000380 |
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