| Genesis MD, PA | |
|
15303 Huebner Rd Ste 7 San Antonio TX 78248-0982 | |
| (210) 759-1420 | |
| (210) 759-1404 |
| Full Name | Genesis MD, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 15303 Huebner Rd Ste 7, San Antonio, Texas |
| Authorized Official Name and Position | Juanita Huertas Sprute (CO-OWNER) |
| Authorized Official Contact | 2108721520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis MD, PA 15303 Huebner Rd Ste 7 San Antonio TX 78248-0982 Ph: (210) 759-1420 | Genesis MD, PA 15303 Huebner Rd Ste 7 San Antonio TX 78248-0982 Ph: (210) 759-1420 |
| NPI Number | 1992505861 |
|---|---|
| Provider Enumeration Date | 03/18/2025 |
| Last Update Date | 07/17/2026 |
| Certification Date | 07/17/2026 |
| Medicare PECOS PAC ID | 3678080645 |
|---|---|
| Medicare Enrollment ID | O20250725002268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992505861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Juanita H Sprute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275523235 PECOS PAC ID: 3173670692 Enrollment ID: I20100826000488 |
| Provider Name | Alaina D Hallmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215927272 PECOS PAC ID: 5991852410 Enrollment ID: I20100826000642 |
| Provider Name | Cassie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639723240 PECOS PAC ID: 7911430673 Enrollment ID: I20241101002911 |
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