| General Physicians Group, PA | |
|
8726 Poteet Jourdanton Fwy San Antonio TX 78224-2412 | |
| (210) 977-8100 | |
| (210) 921-1163 |
| Full Name | General Physicians Group, PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 8726 Poteet Jourdanton Fwy, San Antonio, Texas |
| Authorized Official Name and Position | Carlos Correa (OWNER) |
| Authorized Official Contact | 2109778100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Physicians Group, PA Po Box 780007 San Antonio TX 78278-0007 Ph: (210) 977-8100 | General Physicians Group, PA 8726 Poteet Jourdanton Fwy San Antonio TX 78224-2412 Ph: (210) 977-8100 |
| NPI Number | 1801978945 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 7012014780 |
|---|---|
| Medicare Enrollment ID | O20070515000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801978945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Carlos Correa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629065776 PECOS PAC ID: 1658478326 Enrollment ID: I20070515000455 |
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