| San Antonio Diabetes And Endocrinology Consultants Pllc | |
|
155 E Sonterra Blvd Ste 105 San Antonio TX 78258-3988 | |
| (210) 314-8045 | |
| (210) 314-8073 |
| Full Name | San Antonio Diabetes And Endocrinology Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 E Sonterra Blvd Ste 105, San Antonio, Texas |
| Authorized Official Name and Position | Jaime Oscar Cruz (MEMBER) |
| Authorized Official Contact | 2103148045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Diabetes And Endocrinology Consultants Pllc 155 E Sonterra Blvd Ste 105 San Antonio TX 78258-3988 Ph: (210) 314-8045 | San Antonio Diabetes And Endocrinology Consultants Pllc 155 E Sonterra Blvd Ste 105 San Antonio TX 78258-3988 Ph: (210) 314-8045 |
| NPI Number | 1245677434 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 01/12/2014 |
| Medicare PECOS PAC ID | 7719112689 |
|---|---|
| Medicare Enrollment ID | O20131030001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245677434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Jaime Oscar Cruz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396746442 PECOS PAC ID: 6507993037 Enrollment ID: I20100414000960 |
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