| South San Antonio Medical Associates | |
|
2207 S Zarzamora St San Antonio TX 78207-8005 | |
| (210) 223-3863 | |
| (210) 224-6305 |
| Full Name | South San Antonio Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2207 S Zarzamora St, San Antonio, Texas |
| Authorized Official Name and Position | Ronald D Wong (PRESIDENT) |
| Authorized Official Contact | 2109247158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South San Antonio Medical Associates 11765 West Aveune Pmb 192 San Antonio TX 78216 Ph: (210) 924-7158 | South San Antonio Medical Associates 2207 S Zarzamora St San Antonio TX 78207-8005 Ph: (210) 223-3863 |
| NPI Number | 1912946427 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5991765711 |
|---|---|
| Medicare Enrollment ID | O20041015000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912946427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J5950 (Texas) | Primary |
| Provider Name | Ronald D Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710926233 PECOS PAC ID: 8426018144 Enrollment ID: I20041018000121 |
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