| Lake Mi Mobile Doctors Pc | |
|
3201 Cherry Ridge St Suite C-315 San Antonio TX 78230-4823 | |
| (210) 319-5487 | |
| (210) 342-2300 |
| Full Name | Lake Mi Mobile Doctors Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3201 Cherry Ridge St, San Antonio, Texas |
| Authorized Official Name and Position | Tysyn Contreras (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Contact | 7737517200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Mi Mobile Doctors Pc 3319 N. Elston Ave. Suite 200 Chicago IL 60618-5811 Ph: (773) 751-7200 | Lake Mi Mobile Doctors Pc 3201 Cherry Ridge St Suite C-315 San Antonio TX 78230-4823 Ph: (210) 319-5487 |
| NPI Number | 1134472244 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134472244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
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