| Shavano Family Practice Pa | |
|
12000 Huebner Rd #104 San Antonio TX 78230-1213 | |
| (210) 561-2422 | |
| (210) 561-2466 |
| Full Name | Shavano Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12000 Huebner Rd, San Antonio, Texas |
| Authorized Official Name and Position | Mitchell Frank Finnie (PRESIDENT) |
| Authorized Official Contact | 2105612422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shavano Family Practice Pa 12000 Huebner Rd #104 San Antonio TX 78230-1213 Ph: (210) 561-2422 | Shavano Family Practice Pa 12000 Huebner Rd #104 San Antonio TX 78230-1213 Ph: (210) 561-2422 |
| NPI Number | 1669668083 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669668083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2003 (Texas) | Primary |
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