| River Acres Medical Group, Pa | |
|
1260 River Acres Dr Ste 1 New Braunfels TX 78130-3689 | |
| (830) 620-0956 | |
| (830) 620-0286 |
| Full Name | River Acres Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1260 River Acres Dr, New Braunfels, Texas |
| Authorized Official Name and Position | James Ray Bartay (REGISTERED AGENT) |
| Authorized Official Contact | 8306200956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Acres Medical Group, Pa 1260 River Acres Dr Ste 1 New Braunfels TX 78130-3689 Ph: (830) 620-0956 | River Acres Medical Group, Pa 1260 River Acres Dr Ste 1 New Braunfels TX 78130-3689 Ph: (830) 620-0956 |
| NPI Number | 1730453226 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 08/01/2012 |
| Medicare PECOS PAC ID | 6103082771 |
|---|---|
| Medicare Enrollment ID | O20120725001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730453226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | James Ray Bartay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518055581 PECOS PAC ID: 0345372041 Enrollment ID: I20100715000654 |
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