| Medical Management Program | |
|
7979 Wurzbach Rd Bldg G467 San Antonio TX 78229-4427 | |
| (210) 450-1000 | |
| Not Available |
| Full Name | Medical Management Program |
|---|---|
| Speciality | Family Medicine |
| Location | 7979 Wurzbach Rd Bldg G467, San Antonio, Texas |
| Authorized Official Name and Position | Andrea Marks (SENIOR EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2104504621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Management Program 8431 Fredericksburg Rd Fl 5 San Antonio TX 78229-3392 Ph: (210) 450-9000 | Medical Management Program 7979 Wurzbach Rd Bldg G467 San Antonio TX 78229-4427 Ph: (210) 450-1000 |
| NPI Number | 1891453726 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 6709279029 |
|---|---|
| Medicare Enrollment ID | O20220209002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891453726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John Enrique Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730298621 PECOS PAC ID: 2668543463 Enrollment ID: I20130813000173 |
| Provider Name | Ramon S Cancino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053555953 PECOS PAC ID: 5799934931 Enrollment ID: I20170125002644 |
| Provider Name | Cynthia L Cantu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184088411 PECOS PAC ID: 5092014787 Enrollment ID: I20190624001975 |
| Provider Name | Austin C. Rezigh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235661554 PECOS PAC ID: 8426475302 Enrollment ID: I20200825000520 |
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