| San Antonio Endocrinology And Diabetes Care Pllc | |
|
11130 Christus Hills Ste 101 San Antonio TX 78251 | |
| (210) 352-5006 | |
| (210) 352-5016 |
| Full Name | San Antonio Endocrinology And Diabetes Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11130 Christus Hills, San Antonio, Texas |
| Authorized Official Name and Position | Shahid Aziz (PRESIDENT) |
| Authorized Official Contact | 2103525006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Endocrinology And Diabetes Care Pllc 11130 Christus Hills Ste 101 San Antonio TX 78251 Ph: (210) 352-5006 | San Antonio Endocrinology And Diabetes Care Pllc 11130 Christus Hills Ste 101 San Antonio TX 78251 Ph: (210) 352-5006 |
| NPI Number | 1952739187 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 05/02/2014 |
| Medicare PECOS PAC ID | 0345477212 |
|---|---|
| Medicare Enrollment ID | O20131221000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952739187 | NPI | - | NPPES |
| 0020ZJ | Other | TX | BCBS |
| 327659401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Dina Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932384807 PECOS PAC ID: 6406021443 Enrollment ID: I20111202000518 |
| Provider Name | Shahid Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063611697 PECOS PAC ID: 5294979340 Enrollment ID: I20130911000844 |
| Provider Name | Gabriela Mroueh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548657661 PECOS PAC ID: 5991052318 Enrollment ID: I20200714000479 |
| Provider Name | Melissa Ann Bordes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144904814 PECOS PAC ID: 8325488497 Enrollment ID: I20240507000247 |
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