| Juarez & Juarez Family Medical Clinic, Inc. | |
|
4151 Callaghan Rd Ste 102 San Antonio TX 78228-3476 | |
| (210) 681-6380 | |
| (210) 521-6200 |
| Full Name | Juarez & Juarez Family Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4151 Callaghan Rd, San Antonio, Texas |
| Authorized Official Name and Position | Mario Regino Juarez (PRESIDENT/OWNER) |
| Authorized Official Contact | 2106816380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juarez & Juarez Family Medical Clinic, Inc. 4151 Callaghan Rd Ste 102 San Antonio TX 78228-3476 Ph: (210) 681-6380 | Juarez & Juarez Family Medical Clinic, Inc. 4151 Callaghan Rd Ste 102 San Antonio TX 78228-3476 Ph: (210) 681-6380 |
| NPI Number | 1669702940 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 01/08/2010 |
| Medicare PECOS PAC ID | 9133254162 |
|---|---|
| Medicare Enrollment ID | O20100316000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669702940 | NPI | - | NPPES |
| 00ML01 | Other | TX | MEDICARE ID |
| 110270902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0534 (Texas) | Primary |
| Provider Name | Mario R Juarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073523866 PECOS PAC ID: 5496830895 Enrollment ID: I20100316000864 |
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