| San Antonio Preventive & Diagnostic Medicine | |
|
2829 Babcock Rd Ste 500 San Antonio TX 78229-6028 | |
| (210) 705-5600 | |
| (210) 692-1829 |
| Full Name | San Antonio Preventive & Diagnostic Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2829 Babcock Rd Ste 500, San Antonio, Texas |
| Authorized Official Name and Position | Edward Sargent (PRESIDENT) |
| Authorized Official Contact | 2109492205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Preventive & Diagnostic Medicine 2829 Babcock Rd Ste 500 San Antonio TX 78229-6028 Ph: (210) 705-5600 | San Antonio Preventive & Diagnostic Medicine 2829 Babcock Rd Ste 500 San Antonio TX 78229-6028 Ph: (210) 705-5600 |
| NPI Number | 1609877851 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5799822854 |
|---|---|
| Medicare Enrollment ID | O20091021000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609877851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yuhoe Gia Dice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919020 PECOS PAC ID: 2264416429 Enrollment ID: I20040615001318 |
| Provider Name | Patrice Alves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437132966 PECOS PAC ID: 4284631847 Enrollment ID: I20091021000558 |
| Provider Name | Richard Charles Clemons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740282664 PECOS PAC ID: 8224175385 Enrollment ID: I20100708000940 |
| Provider Name | Thomas W Mieras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578564787 PECOS PAC ID: 2860539921 Enrollment ID: I20100729000181 |
| Provider Name | Albert Mosqueda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952302135 PECOS PAC ID: 7719945575 Enrollment ID: I20100729000512 |
| Provider Name | Edward Reed Sargent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609878529 PECOS PAC ID: 7416094578 Enrollment ID: I20100805000206 |
| Provider Name | Mark David Riddoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437150661 PECOS PAC ID: 5597802652 Enrollment ID: I20100805000223 |
| Provider Name | Bryan Christopher Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489364 PECOS PAC ID: 0941594493 Enrollment ID: I20170714000263 |
| Provider Name | Spandana Kolakaleti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741021 PECOS PAC ID: 6608002142 Enrollment ID: I20191120003219 |
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