| Comprehensive Primary Care Group Inc. | |
|
22250 Bulverde Rd Suite 111 San Antonio TX 78261-3084 | |
| (210) 899-4490 | |
| (210) 592-8195 |
| Full Name | Comprehensive Primary Care Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 22250 Bulverde Rd, San Antonio, Texas |
| Authorized Official Name and Position | Obinna C Uzowulu (PRESIDENT / CEO) |
| Authorized Official Contact | 2108994490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary Care Group Inc. Po Box 592228 San Antonio TX 78259-0161 Ph: (210) 899-4490 | Comprehensive Primary Care Group Inc. 22250 Bulverde Rd Suite 111 San Antonio TX 78261-3084 Ph: (210) 899-4490 |
| NPI Number | 1114311636 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 10/05/2015 |
| Medicare PECOS PAC ID | 7315259603 |
|---|---|
| Medicare Enrollment ID | O20150629002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114311636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N9144 (Texas) | Primary |
| Provider Name | Obinna Chimezie Uzowulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003007295 PECOS PAC ID: 5395939409 Enrollment ID: I20110929000172 |
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