| South Texas Family Medicine And Urgent Care Center | |
|
7115 Blanco Rd Ste 101 San Antonio TX 78216-5045 | |
| (210) 338-8800 | |
| (210) 338-8825 |
| Full Name | South Texas Family Medicine And Urgent Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7115 Blanco Rd Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Kyle Burditt (OWNER) |
| Authorized Official Contact | 2103388800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Family Medicine And Urgent Care Center 7115 Blanco Rd Ste 101 San Antonio TX 78216-5045 Ph: (210) 338-8800 | South Texas Family Medicine And Urgent Care Center 7115 Blanco Rd Ste 101 San Antonio TX 78216-5045 Ph: (210) 338-8800 |
| NPI Number | 1508327859 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 8820331531 |
|---|---|
| Medicare Enrollment ID | O20190521002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508327859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ravi K Sreerama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154373397 PECOS PAC ID: 4284775842 Enrollment ID: I20100105000686 |
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