Abmr Medical, Pllc | |
900 Ne Loop 410 San Antonio TX 78209-1410 | |
(210) 239-8269 | |
(844) 898-6214 |
Full Name | Abmr Medical, Pllc |
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Speciality | Nurse Practitioner |
Location | 900 Ne Loop 410, San Antonio, Texas |
Authorized Official Name and Position | Christopher C Rodriguez (CEO) |
Authorized Official Contact | 2109800796 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abmr Medical, Pllc 900 Ne Loop 410 San Antonio TX 78209-1410 Ph: (210) 239-8269 | Abmr Medical, Pllc 900 Ne Loop 410 San Antonio TX 78209-1410 Ph: (210) 239-8269 |
NPI Number | 1316470131 |
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Provider Enumeration Date | 04/08/2017 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 4587067160 |
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Medicare Enrollment ID | O20210720001261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316470131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AP130890 (Texas) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Christopher C Rodriguez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902252687 PECOS PAC ID: 4981998846 Enrollment ID: I20160816001064 |
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