| Practical Health Management Llc | |
|
11329 West Ave San Antonio TX 78213-1341 | |
| (832) 538-9188 | |
| Not Available |
| Full Name | Practical Health Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11329 West Ave, San Antonio, Texas |
| Authorized Official Name and Position | Jose Flores (DIRECTOR) |
| Authorized Official Contact | 8325389188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Health Management Llc 7218 Harrisburg Blvd Houston TX 77011-4737 Ph: () - | Practical Health Management Llc 11329 West Ave San Antonio TX 78213-1341 Ph: (832) 538-9188 |
| NPI Number | 1710606249 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 9234506825 |
|---|---|
| Medicare Enrollment ID | O20221111000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710606249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victoria Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20180418000794 |
| Provider Name | Yosvani Soto Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780459438 PECOS PAC ID: 8820437999 Enrollment ID: I20240423000253 |
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