| Northeast Internal Medical Associates Pllc | |
|
12602 Toepperwein Rd Suite #100 San Antonio TX 78233-3269 | |
| (210) 650-9669 | |
| (210) 650-0750 |
| Full Name | Northeast Internal Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12602 Toepperwein Rd, San Antonio, Texas |
| Authorized Official Name and Position | Roberta S. Cloud (VICE PRESIDENT) |
| Authorized Official Contact | 2105758505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Internal Medical Associates Pllc 12602 Toepperwein Rd Suite #100 San Antonio TX 78233-3269 Ph: (210) 650-9669 | Northeast Internal Medical Associates Pllc 12602 Toepperwein Rd Suite #100 San Antonio TX 78233-3269 Ph: (210) 650-9669 |
| NPI Number | 1033381447 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033381447 | NPI | - | NPPES |
| DN3280 | Other | RAILROAD | |
| 0075RH | Other | TX | BCBS |
| 1980823-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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