| Maria D. Ponse, D.o., P.a | |
|
117 Dilworth Plaza Poth TX 78147 | |
| (830) 484-0045 | |
| (830) 484-0029 |
| Full Name | Maria D. Ponse, D.o., P.a |
|---|---|
| Speciality | Family Medicine |
| Location | 117 Dilworth Plaza, Poth, Texas |
| Authorized Official Name and Position | Maria D Ponse (PRESIDENT) |
| Authorized Official Contact | 8304840045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria D. Ponse, D.o., P.a 117 Dilworth Plaza Poth TX 78147 Ph: (830) 484-0045 | Maria D. Ponse, D.o., P.a 117 Dilworth Plaza Poth TX 78147 Ph: (830) 484-0045 |
| NPI Number | 1336356377 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336356377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7595 (Texas) | Primary |
Concentra Primary Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Dilworth Plaza, Poth, TX 78147 Phone: 830-484-3530 |