Pasteur Medical Associates Pa | |
4410 Medical Dr Ste 100 San Antonio TX 78229-3737 | |
(210) 614-4000 | |
(210) 614-9114 |
Full Name | Pasteur Medical Associates Pa |
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Speciality | Internal Medicine |
Location | 4410 Medical Dr Ste 100, San Antonio, Texas |
Authorized Official Name and Position | Bradley B Kayser (PRESIDENT) |
Authorized Official Contact | 2106144000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pasteur Medical Associates Pa 4410 Medical Dr Ste 100 San Antonio TX 78229-3737 Ph: (210) 614-4000 | Pasteur Medical Associates Pa 4410 Medical Dr Ste 100 San Antonio TX 78229-3737 Ph: (210) 614-4000 |
NPI Number | 1760483226 |
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Provider Enumeration Date | 08/09/2005 |
Last Update Date | 10/28/2016 |
Medicare PECOS PAC ID | 2769487701 |
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Medicare Enrollment ID | O20060925000494 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760483226 | NPI | - | NPPES |
083513401 | Medicaid | TX | |
CJ5756 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy A Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851495584 PECOS PAC ID: 3476452772 Enrollment ID: I20040106000529 |
Provider Name | John P Galan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528069440 PECOS PAC ID: 7517094436 Enrollment ID: I20100426000369 |
Provider Name | Michelle C. Scanlan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275534109 PECOS PAC ID: 1557498391 Enrollment ID: I20100427000309 |
Provider Name | Juan S Pico |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801846068 PECOS PAC ID: 1557499936 Enrollment ID: I20100505000488 |
Provider Name | Bradley B Kayser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285635110 PECOS PAC ID: 8527125418 Enrollment ID: I20100506001059 |
Provider Name | Douglas R Hilbert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396735718 PECOS PAC ID: 1658534847 Enrollment ID: I20150721001109 |
Provider Name | Jessica Vazquez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992143804 PECOS PAC ID: 7416256565 Enrollment ID: I20161212000322 |
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