Royal Suntomed Medical Group | |
7434 Louis Pasteur Dr Suite 309 San Antonio TX 78229-4538 | |
(210) 593-0390 | |
(210) 593-0388 |
Full Name | Royal Suntomed Medical Group |
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Speciality | Internal Medicine |
Location | 7434 Louis Pasteur Dr, San Antonio, Texas |
Authorized Official Name and Position | Hameed A. Dosunmu (OWNER/CEO) |
Authorized Official Contact | 2105930390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Royal Suntomed Medical Group 3330 Sable Crk San Antonio TX 78259-2219 Ph: (210) 912-8652 | Royal Suntomed Medical Group 7434 Louis Pasteur Dr Suite 309 San Antonio TX 78229-4538 Ph: (210) 593-0390 |
NPI Number | 1922272574 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 10/04/2011 |
Medicare PECOS PAC ID | 0042376394 |
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Medicare Enrollment ID | O20090311000603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922272574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L3285 (Texas) | Primary |
Provider Name | Hameed A Dosunmu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003924101 PECOS PAC ID: 0648234559 Enrollment ID: I20041118001164 |
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