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7622 Louis Pasteur Dr Suite 100 San Antonio TX 78229-4037 | |
| (210) 614-7840 | |
| (210) 562-2277 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7622 Louis Pasteur Dr, San Antonio, Texas |
| Authorized Official Name and Position | Carlos O Hernandez (PRESIDENT) |
| Authorized Official Contact | 2108777570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8637 Fredericksburg Road, Suite 360 Attn: Director Of Accounts Receivable San Antonio TX 78240-1285 Ph: (210) 877-7570 | 7622 Louis Pasteur Dr Suite 100 San Antonio TX 78229-4037 Ph: (210) 614-7840 |
| NPI Number | 1245538529 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245538529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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