| Oscar J. Cerda, M.d., P.a. | |
|
5410 Fredericksburg Rd Suite 112 San Antonio TX 78229-3554 | |
| (210) 733-3008 | |
| (210) 733-3002 |
| Full Name | Oscar J. Cerda, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 5410 Fredericksburg Rd, San Antonio, Texas |
| Authorized Official Name and Position | Chris Mathis (FINANCIAL MANAGER) |
| Authorized Official Contact | 2105251668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar J. Cerda, M.d., P.a. Po Box 700596 San Antonio TX 78270-0596 Ph: (210) 525-1668 | Oscar J. Cerda, M.d., P.a. 5410 Fredericksburg Rd Suite 112 San Antonio TX 78229-3554 Ph: (210) 733-3008 |
| NPI Number | 1851512321 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 9133306616 |
|---|---|
| Medicare Enrollment ID | O20110609000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851512321 | NPI | - | NPPES |
| 157930201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K0672 (Texas) | Primary |
| Provider Name | Oscar J Cerda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467567172 PECOS PAC ID: 8123205614 Enrollment ID: I20110609000592 |
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