| |
1111 Se Military Dr San Antonio TX 78214-2801 | |
(210) 927-5580 | |
(210) 927-2700 |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 1111 Se Military Dr, San Antonio, Texas |
Authorized Official Name and Position | Erica Hauser (PRESIDENT) |
Authorized Official Contact | 3125905372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4165 Portland OR 97208-4165 Ph: (210) 349-5577 | 1111 Se Military Dr San Antonio TX 78214-2801 Ph: (210) 927-5580 |
NPI Number | 1578928370 |
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Provider Enumeration Date | 12/21/2015 |
Last Update Date | 03/21/2023 |
Identifier | Type | State | Issuer |
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1578928370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F0031 (Texas) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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