| Vida Physician Network, Pllc | |
|
414 Navarro St Ste 703 San Antonio TX 78205-2515 | |
| (210) 224-4811 | |
| Not Available |
| Full Name | Vida Physician Network, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 414 Navarro St Ste 703, San Antonio, Texas |
| Authorized Official Name and Position | Guillermo I Rocha (PRESIDENT) |
| Authorized Official Contact | 2109225922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Physician Network, Pllc 414 Navarro St Ste 703 San Antonio TX 78205-2515 Ph: (210) 224-4811 | Vida Physician Network, Pllc 414 Navarro St Ste 703 San Antonio TX 78205-2515 Ph: (210) 224-4811 |
| NPI Number | 1053650127 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053650127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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