<unavail> in Boerne, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Ambulatory Surgical) in Boerne, Texas. The current practice location for is 112 Herff Rd Ste 200, Boerne, Texas. For appointments, you can reach them via phone at (830) 331-7700. The mailing address for is 14201 Dallas Pkwy, Dallas, Texas and phone number is (972) 763-3859.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902302961. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (830) 331-7700.

Contact Information


	112 Herff Rd Ste 200 Boerne TX 78006-2748
	(830) 331-7700
	(830) 331-7709

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	112 Herff Rd Ste 200, Boerne, Texas
Authorized Official Name and Position	Peter Blach (OFFICER / AUTHORIZED OFFICIAL)
Authorized Official Contact	7133430832
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
14201 Dallas Pkwy Dallas TX 75254-2916 Ph: (972) 763-3859	112 Herff Rd Ste 200 Boerne TX 78006-2748 Ph: (830) 331-7700

NPI Details:

NPI Number	1902302961
Provider Enumeration Date	03/30/2018
Last Update Date	10/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8921356650
Medicare Enrollment ID	O20180813000210

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902302961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QA1903X	Clinic/center - Ambulatory Surgical	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Boerne, TX