| Valley Clinic Inc | |
|
9102 Floyd Curl Dr San Antonio TX 78240-1553 | |
| (210) 308-5933 | |
| (210) 809-6267 |
| Full Name | Valley Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9102 Floyd Curl Dr, San Antonio, Texas |
| Authorized Official Name and Position | Gerardo Vazquez (DOCTOR) |
| Authorized Official Contact | 2103085933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Clinic Inc 9102 Floyd Curl Dr San Antonio TX 78240-1553 Ph: (210) 308-5933 | Valley Clinic Inc 9102 Floyd Curl Dr San Antonio TX 78240-1553 Ph: (210) 308-5933 |
| NPI Number | 1821286600 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 04/28/2021 |
| Medicare PECOS PAC ID | 6002083896 |
|---|---|
| Medicare Enrollment ID | O20120119000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821286600 | NPI | - | NPPES |
| 133839406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Gerardo R Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740274497 PECOS PAC ID: 1254416647 Enrollment ID: I20101115001011 |
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