West Kirk Medical Practice, Pa | |
711 Kirk Pl San Antonio TX 78226-1416 | |
(210) 227-9408 | |
Not Available |
Full Name | West Kirk Medical Practice, Pa |
---|---|
Speciality | Clinic/Center |
Location | 711 Kirk Pl, San Antonio, Texas |
Authorized Official Name and Position | Leonel Tano (M.D.) |
Authorized Official Contact | 2102279408 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
West Kirk Medical Practice, Pa 711 Kirk Pl San Antonio TX 78226-1416 Ph: (210) 227-9408 | West Kirk Medical Practice, Pa 711 Kirk Pl San Antonio TX 78226-1416 Ph: (210) 227-9408 |
NPI Number | 1508054842 |
---|---|
Provider Enumeration Date | 10/11/2007 |
Last Update Date | 09/16/2014 |
Medicare PECOS PAC ID | 8426950288 |
---|---|
Medicare Enrollment ID | O20040122000520 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508054842 | NPI | - | NPPES |
168296501 | Medicaid | TX | |
112094102 | Medicaid | TX | |
5903 | Other | TX | AETNA |
112094104 | Medicaid | TX | |
112094101 | Medicaid | TX | |
8K1570 | Other | TX | BCBS |
112094103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | E7516 (Texas) | Primary |
Provider Name | Leonel Tano |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1487690798 PECOS PAC ID: 2365344132 Enrollment ID: I20040210000686 |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |