| Centromed | |
|
3750 Commercial Ave San Antonio TX 78221-3117 | |
| (210) 334-3700 | |
| (210) 922-0162 |
| Full Name | Centromed |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3750 Commercial Ave, San Antonio, Texas |
| Authorized Official Name and Position | Chuck Walzel (CFO) |
| Authorized Official Contact | 2103343724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centromed 3750 Commercial Ave San Antonio TX 78221-3117 Ph: (210) 334-3700 | Centromed 3750 Commercial Ave San Antonio TX 78221-3117 Ph: (210) 334-3700 |
| NPI Number | 1316126675 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316126675 | NPI | - | NPPES |
| 120980105 | Medicaid | TX | |
| 188815801 | Medicaid | TX | |
| 8G8244 | Other | TX | BCBS |
| 120980102 | Medicaid | TX | |
| 120980103 | Medicaid | TX | |
| 120980101 | Medicaid | TX |
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