| Primway Medical, Pllc | |
|
11345 Alamo Ranch Pkwy Suite 202 San Antonio TX 78253-6440 | |
| (210) 688-9190 | |
| (877) 936-8202 |
| Full Name | Primway Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11345 Alamo Ranch Pkwy, San Antonio, Texas |
| Authorized Official Name and Position | Adeniyi O Igun (OWNER/DOCTOR) |
| Authorized Official Contact | 2106889190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primway Medical, Pllc 11345 Alamo Ranch Pkwy Ste. 202 San Antonio TX 78253-6440 Ph: (210) 688-9190 | Primway Medical, Pllc 11345 Alamo Ranch Pkwy Suite 202 San Antonio TX 78253-6440 Ph: (210) 688-9190 |
| NPI Number | 1699163923 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 12/23/2015 |
| Medicare PECOS PAC ID | 8426377623 |
|---|---|
| Medicare Enrollment ID | O20150511001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699163923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adeniyi O Igun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285809251 PECOS PAC ID: 9335399138 Enrollment ID: I20121031000469 |
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