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109 Gallery Cir Suite 131 San Antonio TX 78258-3327 | |
| (210) 490-5100 | |
| (210) 490-5179 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Gallery Cir, San Antonio, Texas |
| Authorized Official Name and Position | Stephen F. Ramirez (DOCTOR/OWNER) |
| Authorized Official Contact | 2104905100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
109 Gallery Cir Suite 131 San Antonio TX 78258-3327 Ph: (210) 490-5100 | 109 Gallery Cir Suite 131 San Antonio TX 78258-3327 Ph: (210) 490-5100 |
| NPI Number | 1487960753 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487960753 | NPI | - | NPPES |
| 1184716524 | Other | TX | INDIVIDUAL NPI |
| 8A2380 | Other | TX | BCBS IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2369 (Texas) | Primary |
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