Texan Family Clinic Pllc | |
5230 De Zavala Rd Ste 212 San Antonio TX 78249-1731 | |
(210) 951-9980 | |
(210) 485-1413 |
Full Name | Texan Family Clinic Pllc |
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Speciality | Family Medicine |
Location | 5230 De Zavala Rd Ste 212, San Antonio, Texas |
Authorized Official Name and Position | Danilo H Hoyumpa (OWNER/PROVIDER) |
Authorized Official Contact | 2109519980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texan Family Clinic Pllc 21518 Roan Blf San Antonio TX 78259-2671 Ph: (210) 274-3667 | Texan Family Clinic Pllc 5230 De Zavala Rd Ste 212 San Antonio TX 78249-1731 Ph: (210) 951-9980 |
NPI Number | 1982121620 |
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Provider Enumeration Date | 08/24/2017 |
Last Update Date | 08/24/2017 |
Medicare PECOS PAC ID | 4587922513 |
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Medicare Enrollment ID | O20171221001577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982121620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Danilo H Hoyumpa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538117387 PECOS PAC ID: 3173512951 Enrollment ID: I20040507000452 |
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