| Christus Vna Palliative Care San Antonio | |
|
5253 Prue Rd Ste 315c San Antonio TX 78240-1758 | |
| (210) 750-8100 | |
| Not Available |
| Full Name | Christus Vna Palliative Care San Antonio |
|---|---|
| Speciality | Family Medicine |
| Location | 5253 Prue Rd Ste 315c, San Antonio, Texas |
| Authorized Official Name and Position | Nicholas Gachassin (SECRETARY/TREASURER) |
| Authorized Official Contact | 3372331307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Vna Palliative Care San Antonio Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Christus Vna Palliative Care San Antonio 5253 Prue Rd Ste 315c San Antonio TX 78240-1758 Ph: (210) 750-8100 |
| NPI Number | 1043774383 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 03/26/2021 |
| Medicare PECOS PAC ID | 8921341561 |
|---|---|
| Medicare Enrollment ID | O20190522000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043774383 | NPI | - | NPPES |
| Provider Name | Lysa A Hieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082531 PECOS PAC ID: 2668745910 Enrollment ID: I20170907002612 |
| Provider Name | Greta Mills Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376008276 PECOS PAC ID: 3375886922 Enrollment ID: I20190522001018 |
| Provider Name | Jo A. Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528692290 PECOS PAC ID: 0648609958 Enrollment ID: I20200408003069 |
| Provider Name | Dominique B Yang-kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225299688 PECOS PAC ID: 3274793864 Enrollment ID: I20201204000588 |
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