S&c Healthcare, Pllc | |
11212 Tx-151 San Antonio TX 78251 | |
(830) 542-8566 | |
(210) 802-2620 |
Full Name | S&c Healthcare, Pllc |
---|---|
Speciality | Family Medicine |
Location | 11212 Tx-151, San Antonio, Texas |
Authorized Official Name and Position | Vasudeva Ranjit Mudipalli (PRESIDENT) |
Authorized Official Contact | 8305428566 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S&c Healthcare, Pllc Po Box 780188 San Antonio TX 78278-0188 Ph: (830) 542-8566 | S&c Healthcare, Pllc 11212 Tx-151 San Antonio TX 78251 Ph: (830) 542-8566 |
NPI Number | 1679037089 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 01/30/2019 |
Medicare PECOS PAC ID | 2466794706 |
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Medicare Enrollment ID | O20190507000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679037089 | NPI | - | NPPES |
34938001 | Other | TX | DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Vasudeva Ranjit Mudipalli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093756439 PECOS PAC ID: 6103846183 Enrollment ID: I20110621000190 |
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