| Orchestra Health Medical Group Texas Pllc | |
|
11212 State Highway 151 Ste 240 San Antonio TX 78251-4501 | |
| (210) 549-6581 | |
| (210) 714-0556 |
| Full Name | Orchestra Health Medical Group Texas Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11212 State Highway 151 Ste 240, San Antonio, Texas |
| Authorized Official Name and Position | Stuart Solomon (PRESIDENT) |
| Authorized Official Contact | 2105496581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchestra Health Medical Group Texas Pllc 11212 State Highway 151 Ste 240 San Antonio TX 78251-4501 Ph: (210) 549-6581 | Orchestra Health Medical Group Texas Pllc 11212 State Highway 151 Ste 240 San Antonio TX 78251-4501 Ph: (210) 549-6581 |
| NPI Number | 1184353948 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 4183090137 |
|---|---|
| Medicare Enrollment ID | O20221018000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184353948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Callie D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386139434 PECOS PAC ID: 7911251053 Enrollment ID: I20181108001679 |
| Provider Name | Stuart C Solomon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235526237 PECOS PAC ID: 3173853579 Enrollment ID: I20200916003296 |
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