| Family Care Clinic | |
|
4910 Golden Quail Ste 100 San Antonio TX 78240-1769 | |
| (210) 615-8495 | |
| (210) 615-8747 |
| Full Name | Family Care Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4910 Golden Quail Ste 100, San Antonio, Texas |
| Authorized Official Name and Position | David N Lopez (DOCTOR) |
| Authorized Official Contact | 2106158495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic 5282 Medical Dr Ste 540 San Antonio TX 78229-4849 Ph: (210) 615-8495 | Family Care Clinic 4910 Golden Quail Ste 100 San Antonio TX 78240-1769 Ph: (210) 615-8495 |
| NPI Number | 1275702508 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 12/12/2019 |
| Medicare PECOS PAC ID | 7517953136 |
|---|---|
| Medicare Enrollment ID | O20040421000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275702508 | NPI | - | NPPES |
| 167382401 | Medicaid | TX | |
| 167382402 | Other | TX | TH STEPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H7570 (Texas) | Primary |
| Provider Name | David N Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760418867 PECOS PAC ID: 6204822836 Enrollment ID: I20040421000574 |
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