| Ear Medical Group Pa | |
|
21 Spurs Lane, Suite 100, San Antonio, TX 78240 | |
| (210) 614-6070 | |
| (210) 615-6814 |
| Full Name | Ear Medical Group Pa |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology - Otology & Neurotology |
| Location | 21 Spurs Lane, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164533246 | NPI | - | NPPES |
| 112782101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 0080928503 (Texas) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | (* (Not Available)) | Primary |
| Provider Name | Charles A Syms |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902844202 PECOS PAC ID: 5799781860 Enrollment ID: I20100622000578 |
| Provider Name | Susan Marenda King |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396783528 PECOS PAC ID: 3577581529 Enrollment ID: I20100809000348 |
| Provider Name | Brian Philip Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619915832 PECOS PAC ID: 4688779986 Enrollment ID: I20100809000870 |
| Provider Name | Timothy M Jaquez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881987824 PECOS PAC ID: 3375790231 Enrollment ID: I20120828000450 |
| Provider Name | Michelle Coll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457668980 PECOS PAC ID: 8729303888 Enrollment ID: I20150211002312 |
| Provider Name | Sean Patrick Monahan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659920312 PECOS PAC ID: 2365875713 Enrollment ID: I20191126000745 |
| Provider Name | Maria Geraldine Zuniga Manrique |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215370077 PECOS PAC ID: 5092018523 Enrollment ID: I20220706002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ear Medical Group Pa 21 Spurs Ln Ste 245, San Antonio, TX 78240-1689 Ph: (210) 614-6070 | Ear Medical Group Pa 21 Spurs Lane, Suite 100, San Antonio, TX 78240 Ph: (210) 614-6070 |