|
| |
|
2829 Babcock Rd Ste 117 San Antonio TX 78229-6009 | |
| (210) 341-9614 | |
| (210) 340-5924 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2829 Babcock Rd Ste 117, San Antonio, Texas |
| Authorized Official Name and Position | Tammy Ruiz (PRACTICE ADMINISISTRATOR) |
| Authorized Official Contact | 2103419614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5825 Callaghan Rd Ste 203 San Antonio TX 78228-1107 Ph: (210) 341-9614 | 2829 Babcock Rd Ste 117 San Antonio TX 78229-6009 Ph: (210) 341-9614 |
| NPI Number | 1558400168 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558400168 | NPI | - | NPPES |
| 121373802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J6667 (Texas) | Primary |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |