| San Antonio Internal Medicine Physicians, Pllc | |
|
1303 Mccullough Ave Suite #560 San Antonio TX 78212-5609 | |
| (210) 223-9617 | |
| (210) 568-1910 |
| Full Name | San Antonio Internal Medicine Physicians, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1303 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Roberta Cloud (VICE PRESIDENT) |
| Authorized Official Contact | 2105758501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Internal Medicine Physicians, Pllc 1303 Mccullough Ave Suite #560 San Antonio TX 78212-5609 Ph: (210) 223-9617 | San Antonio Internal Medicine Physicians, Pllc 1303 Mccullough Ave Suite #560 San Antonio TX 78212-5609 Ph: (210) 223-9617 |
| NPI Number | 1184945446 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184945446 | NPI | - | NPPES |
| 0033TQ | Other | TX | BCBS |
| 2167660-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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