Starhope Liver Center Pa | |
3303 Rogers Rd Ste 230 San Antonio TX 78251-3688 | |
(210) 833-4927 | |
Not Available |
Full Name | Starhope Liver Center Pa |
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Speciality | Internal Medicine |
Location | 3303 Rogers Rd Ste 230, San Antonio, Texas |
Authorized Official Name and Position | Fernando E Membreno (OWNER) |
Authorized Official Contact | 2108334927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starhope Liver Center Pa 19179 Blanco Rd Ste 105-249 San Antonio TX 78258-4042 Ph: (210) 833-4927 | Starhope Liver Center Pa 3303 Rogers Rd Ste 230 San Antonio TX 78251-3688 Ph: (210) 833-4927 |
NPI Number | 1568209252 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/11/2024 |
Medicare PECOS PAC ID | 0345781563 |
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Medicare Enrollment ID | O20240916001095 |
Identifier | Type | State | Issuer |
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1568209252 | NPI | - | NPPES |
Provider Name | Fernando E Membreno |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942233929 PECOS PAC ID: 0244131845 Enrollment ID: I20060920000255 |
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