| South Texas Wound Associates, Pa | |
|
8811 Village Dr Neb Wound Healing Center San Antonio TX 78217-5415 | |
| (210) 297-2520 | |
| (210) 297-2539 |
| Full Name | South Texas Wound Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8811 Village Dr, San Antonio, Texas |
| Authorized Official Name and Position | Jayesh Shah (PRESIDENT) |
| Authorized Official Contact | 2102972520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Wound Associates, Pa Po Box 780764 San Antonio TX 78278-0764 Ph: (210) 289-5948 | South Texas Wound Associates, Pa 8811 Village Dr Neb Wound Healing Center San Antonio TX 78217-5415 Ph: (210) 297-2520 |
| NPI Number | 1780708016 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 01/21/2015 |
| Medicare PECOS PAC ID | 3476503897 |
|---|---|
| Medicare Enrollment ID | O20050124000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780708016 | NPI | - | NPPES |
| 00298U | Other | TX | PTAN |
| 00298U | Other | TX | BCBS PROVIDER NO. |
| 155212702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jayesh B Shah |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1962404830 PECOS PAC ID: 9739173808 Enrollment ID: I20040412001231 |
| Provider Name | William R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972561264 PECOS PAC ID: 9739163734 Enrollment ID: I20040616001360 |
| Provider Name | Marshall B Packard |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1538175443 PECOS PAC ID: 9436108255 Enrollment ID: I20050119000797 |
| Provider Name | Dianne M Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427095777 PECOS PAC ID: 8729038492 Enrollment ID: I20050131000379 |
| Provider Name | Fernando E Karst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326148586 PECOS PAC ID: 9739177429 Enrollment ID: I20070205000275 |
| Provider Name | Stephanie M Prado |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649344391 PECOS PAC ID: 6507960747 Enrollment ID: I20070328000560 |
| Provider Name | Rolland C Reynolds |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1447479878 PECOS PAC ID: 3375674187 Enrollment ID: I20100623000105 |
| Provider Name | Elizabeth Jo Sparkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548645047 PECOS PAC ID: 9234421041 Enrollment ID: I20160714000277 |
| Provider Name | Natasha L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023554722 PECOS PAC ID: 0345511978 Enrollment ID: I20170801000629 |
| Provider Name | Pierre F Beaufond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023405388 PECOS PAC ID: 8123325305 Enrollment ID: I20180719000562 |
| Provider Name | Berylla Sarfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073090809 PECOS PAC ID: 3072865542 Enrollment ID: I20181010003291 |
| Provider Name | Charlisse Newbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790247963 PECOS PAC ID: 6103169412 Enrollment ID: I20190529002369 |
| Provider Name | April Louise Lumpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207468 PECOS PAC ID: 2264865351 Enrollment ID: I20191203002521 |
| Provider Name | Bree Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972979789 PECOS PAC ID: 0143536649 Enrollment ID: I20220517000156 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |
Omni Vision Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9218 Potranco Rd, Suite 105, San Antonio, TX 78251 Phone: 832-331-9831 Fax: 210-855-8365 |