| Dandan Primary Care, Llc | |
|
354 E Southcross Blvd Ste 100 San Antonio TX 78214-3595 | |
| (661) 912-7458 | |
| Not Available |
| Full Name | Dandan Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 354 E Southcross Blvd Ste 100, San Antonio, Texas |
| Authorized Official Name and Position | Melhem Dandan (OWNER) |
| Authorized Official Contact | 6619127496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandan Primary Care, Llc 19807 Fiesta Grande San Antonio TX 78256-2038 Ph: () - | Dandan Primary Care, Llc 354 E Southcross Blvd Ste 100 San Antonio TX 78214-3595 Ph: (661) 912-7458 |
| NPI Number | 1235804964 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 5193114288 |
|---|---|
| Medicare Enrollment ID | O20211110003010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235804964 | NPI | - | NPPES |
| 1053393520 | Other | TX | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Susan P Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962657486 PECOS PAC ID: 7214114792 Enrollment ID: I20110609000464 |
| Provider Name | Melhem A Dandan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053393520 PECOS PAC ID: 5698856334 Enrollment ID: I20120821000791 |
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