Westover Hills Primary Care | |
9022 Culebra Rd Ste 112 San Antonio TX 78251 | |
(210) 802-3777 | |
Not Available |
Full Name | Westover Hills Primary Care |
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Speciality | Family Medicine |
Location | 9022 Culebra Rd, San Antonio, Texas |
Authorized Official Name and Position | Stella Koretsky (MEDICAL DIRECTOR) |
Authorized Official Contact | 2108023777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westover Hills Primary Care 8910 Whitney Cir San Antonio TX 78254-5706 Ph: () - | Westover Hills Primary Care 9022 Culebra Rd Ste 112 San Antonio TX 78251 Ph: (210) 802-3777 |
NPI Number | 1316421506 |
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Provider Enumeration Date | 09/24/2018 |
Last Update Date | 12/28/2020 |
Medicare PECOS PAC ID | 6204172638 |
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Medicare Enrollment ID | O20190603000908 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316421506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stella Koretsky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487841342 PECOS PAC ID: 3870683543 Enrollment ID: I20071218000459 |
Provider Name | Xelena Christine Caldwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861985822 PECOS PAC ID: 5395093934 Enrollment ID: I20180730002596 |
Provider Name | Jameve S Caballero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780226654 PECOS PAC ID: 7618365651 Enrollment ID: I20211025003053 |
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