North San Antonio Healthcare Associates | |
3338 Oakwell Court Suite 107 San Antonio TX 78218-3019 | |
(210) 822-3646 | |
(210) 822-5242 |
Full Name | North San Antonio Healthcare Associates |
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Speciality | Family Medicine |
Location | 3338 Oakwell Court, San Antonio, Texas |
Authorized Official Name and Position | Gordon T Hill (PRESIDENT) |
Authorized Official Contact | 2108223646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North San Antonio Healthcare Associates 3338 Oakwell Court Suite 107 San Antonio TX 78218-3019 Ph: (210) 822-3646 | North San Antonio Healthcare Associates 3338 Oakwell Court Suite 107 San Antonio TX 78218-3019 Ph: (210) 822-3646 |
NPI Number | 1295880987 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6406830314 |
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Medicare Enrollment ID | O20040617000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295880987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Walter Walthall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750460317 PECOS PAC ID: 8224016308 Enrollment ID: I20040713001622 |
Provider Name | David J Sandercock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871672436 PECOS PAC ID: 3173593977 Enrollment ID: I20040729000111 |
Provider Name | Clifford Neil Alprin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568504835 PECOS PAC ID: 0143307975 Enrollment ID: I20090701000308 |
Provider Name | Marlene Herrera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477195527 PECOS PAC ID: 6002248044 Enrollment ID: I20191113002809 |
Provider Name | Russell Taylor Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619526761 PECOS PAC ID: 1850725300 Enrollment ID: I20191217000400 |
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