| William J Peche, M.d., P. A | |
|
205 E Evergreen St San Antonio TX 78212-4748 | |
| (210) 225-2641 | |
| (210) 225-7873 |
| Full Name | William J Peche, M.d., P. A |
|---|---|
| Speciality | Clinic/center |
| Location | 205 E Evergreen St, San Antonio, Texas |
| Authorized Official Name and Position | William J Peche (PRESIDENT) |
| Authorized Official Contact | 2102252641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Peche, M.d., P. A 205 E Evergreen St San Antonio TX 78212-4748 Ph: (210) 225-2641 | William J Peche, M.d., P. A 205 E Evergreen St San Antonio TX 78212-4748 Ph: (210) 225-2641 |
| NPI Number | 1306018676 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306018676 | NPI | - | NPPES |
| 8BE100 | Other | TX | BLUE CROSS |
| 033225601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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