| San Antonio Institute Of Diabetes, Thyroid & Endocrine Disorders, Inc | |
|
4025 E Southcross Blvd Ste 7 San Antonio TX 78222-3640 | |
| (210) 267-9229 | |
| (210) 267-8005 |
| Full Name | San Antonio Institute Of Diabetes, Thyroid & Endocrine Disorders, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4025 E Southcross Blvd Ste 7, San Antonio, Texas |
| Authorized Official Name and Position | Marlise Negrette (ACCOUNT MANAGER) |
| Authorized Official Contact | 9097935511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Institute Of Diabetes, Thyroid & Endocrine Disorders, Inc 4025 E Southcross Blvd Ste 7 San Antonio TX 78222-3640 Ph: (210) 267-9229 | San Antonio Institute Of Diabetes, Thyroid & Endocrine Disorders, Inc 4025 E Southcross Blvd Ste 7 San Antonio TX 78222-3640 Ph: (210) 267-9229 |
| NPI Number | 1265160196 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 9739564105 |
|---|---|
| Medicare Enrollment ID | O20220921001623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265160196 | NPI | - | NPPES |
| 1447296280 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Shadi George Badrieh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447296280 PECOS PAC ID: 5496651150 Enrollment ID: I20220921001815 |
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