| Deco District Doctors Office Llc | |
|
3202 San Pedro Ave San Antonio TX 78212-2247 | |
| (210) 732-5100 | |
| (210) 732-5108 |
| Full Name | Deco District Doctors Office Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3202 San Pedro Ave, San Antonio, Texas |
| Authorized Official Name and Position | James M Bromley (OWNER) |
| Authorized Official Contact | 2107325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deco District Doctors Office Llc 3202 San Pedro Ave San Antonio TX 78212-2247 Ph: (210) 732-5100 | Deco District Doctors Office Llc 3202 San Pedro Ave San Antonio TX 78212-2247 Ph: (210) 732-5100 |
| NPI Number | 1568688752 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568688752 | NPI | - | NPPES |
| 0069KD | Other | TX | BLUE CROSS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9604 (Texas) | Primary |
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