| Federico Roman Ng, Mdpa | |
|
7922 Ewing Halsell Dr Suite 270 San Antonio TX 78229-3786 | |
| (210) 614-2828 | |
| (210) 614-2558 |
| Full Name | Federico Roman Ng, Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7922 Ewing Halsell Dr, San Antonio, Texas |
| Authorized Official Name and Position | Federico Roman Ng (OWNER) |
| Authorized Official Contact | 2106142828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federico Roman Ng, Mdpa 7922 Ewing Halsell Dr Suite 270 San Antonio TX 78229-3786 Ph: (210) 614-2828 | Federico Roman Ng, Mdpa 7922 Ewing Halsell Dr Suite 270 San Antonio TX 78229-3786 Ph: (210) 614-2828 |
| NPI Number | 1053677351 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 04/11/2012 |
| Medicare PECOS PAC ID | 4880840602 |
|---|---|
| Medicare Enrollment ID | O20120810000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053677351 | NPI | - | NPPES |
| 1528061488 | Other | TX | NPI-INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6623 (Texas) | Primary |
| Provider Name | Federico R Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528061488 PECOS PAC ID: 3870651946 Enrollment ID: I20081017000295 |
| Provider Name | Eric Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265033435 PECOS PAC ID: 1759796790 Enrollment ID: I20210224002492 |
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