Galvez Family Medicine | |
5414 Fredericksburg Rd Ste 260 San Antonio TX 78229-3763 | |
(210) 452-2669 | |
Not Available |
Full Name | Galvez Family Medicine |
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Speciality | Family Medicine |
Location | 5414 Fredericksburg Rd Ste 260, San Antonio, Texas |
Authorized Official Name and Position | Theodora Kulesza-galvez (FAMILY MEDICINE PHYSICIAN) |
Authorized Official Contact | 2104522669 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Galvez Family Medicine 5414 Fredericksburg Rd Ste 260 Bldg B San Antonio TX 78229-3763 Ph: (726) 600-1775 | Galvez Family Medicine 5414 Fredericksburg Rd Ste 260 San Antonio TX 78229-3763 Ph: (210) 452-2669 |
NPI Number | 1669059507 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 04/30/2021 |
Medicare PECOS PAC ID | 8224446661 |
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Medicare Enrollment ID | O20210423000015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669059507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Theodora Kulesza-galvez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013323450 PECOS PAC ID: 4688946445 Enrollment ID: I20180719002760 |
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