| San Antonio Advanced Medical Group Pa | |
|
134 Menger Spgs Suite 1210 Boerne TX 78006-7218 | |
| (210) 698-9841 | |
| (210) 698-9863 |
| Full Name | San Antonio Advanced Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 134 Menger Spgs, Boerne, Texas |
| Authorized Official Name and Position | Rachel A Sanchez (PRACTICE MANAGER) |
| Authorized Official Contact | 2106989841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Advanced Medical Group Pa 24165 Ih 10 W Suite 217, Box 644 San Antonio TX 78257-1159 Ph: (210) 698-9841 | San Antonio Advanced Medical Group Pa 134 Menger Spgs Suite 1210 Boerne TX 78006-7218 Ph: (210) 698-9841 |
| NPI Number | 1366631020 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 01/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366631020 | NPI | - | NPPES |
| CS5288 | Other | TX | MC RAILROAD GROUP TIN |
| 0088MC | Other | TX | BCBS GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G7947 (Texas) | Primary |
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