| 5 Star Integrity Healthcare, Llc | |
|
1300 West Ave Ste 201 San Antonio TX 78201-3501 | |
| (210) 708-9329 | |
| (210) 817-8686 |
| Full Name | 5 Star Integrity Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 West Ave Ste 201, San Antonio, Texas |
| Authorized Official Name and Position | Patricia V Gomez (OWNER) |
| Authorized Official Contact | 2107089329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Integrity Healthcare, Llc 1300 West Ave Ste 201 San Antonio TX 78201-3501 Ph: (210) 708-9329 | 5 Star Integrity Healthcare, Llc 1300 West Ave Ste 201 San Antonio TX 78201-3501 Ph: (210) 708-9329 |
| NPI Number | 1194210658 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 0143579888 |
|---|---|
| Medicare Enrollment ID | O20180814002121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194210658 | NPI | - | NPPES |
| Provider Name | Jose Luis Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487661781 PECOS PAC ID: 6305871559 Enrollment ID: I20050927001063 |
| Provider Name | R Marc Schwarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134440258 PECOS PAC ID: 3375735343 Enrollment ID: I20101008000386 |
| Provider Name | Andrea Hayden Estrada Siller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386208924 PECOS PAC ID: 9638595549 Enrollment ID: I20200821000911 |
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