| Olive Tree Health | |
|
21750 Hardy Oak Blvd. Ste. 104 San Antonio TX 78258 | |
| (210) 347-2367 | |
| Not Available |
| Full Name | Olive Tree Health |
|---|---|
| Speciality | Family Medicine |
| Location | 21750 Hardy Oak Blvd., San Antonio, Texas |
| Authorized Official Name and Position | Joshua Urteaga (OWNER) |
| Authorized Official Contact | 2103472367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree Health 2186 Jackson Keller Rd Ste 1204 San Antonio TX 78213-2723 Ph: () - | Olive Tree Health 21750 Hardy Oak Blvd. Ste. 104 San Antonio TX 78258 Ph: (210) 347-2367 |
| NPI Number | 1184406803 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 2567805518 |
|---|---|
| Medicare Enrollment ID | O20240207001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184406803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua Urteaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346667 PECOS PAC ID: 6305136607 Enrollment ID: I20180620001416 |
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