| San Antonio Integrated Healthcare Pllc | |
|
8077 Callaghan Rd San Antonio TX 78230-4718 | |
| (210) 341-5596 | |
| (210) 525-8376 |
| Full Name | San Antonio Integrated Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8077 Callaghan Rd, San Antonio, Texas |
| Authorized Official Name and Position | Milton Shaw (MANAGER) |
| Authorized Official Contact | 2103415596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Integrated Healthcare Pllc 8077 Callaghan Rd San Antonio TX 78230-4718 Ph: (210) 341-5596 | San Antonio Integrated Healthcare Pllc 8077 Callaghan Rd San Antonio TX 78230-4718 Ph: (210) 341-5596 |
| NPI Number | 1841674306 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 9537464201 |
|---|---|
| Medicare Enrollment ID | O20160218001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841674306 | NPI | - | NPPES |
| Provider Name | Milton Shaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346203007 PECOS PAC ID: 3678535879 Enrollment ID: I20041030000113 |
| Provider Name | Jose Huerta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669723979 PECOS PAC ID: 7315242906 Enrollment ID: I20160218002167 |
| Provider Name | Daiawantie Ramdass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114247749 PECOS PAC ID: 6901162072 Enrollment ID: I20171106001142 |
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