| Premier Tests LLC | |
|
410 E Wildwood San Antonio TX 78212-1758 | |
| (361) 723-0226 | |
| (512) 852-4625 |
| Full Name | Premier Tests LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 410 E Wildwood, San Antonio, Texas |
| Authorized Official Name and Position | Matthew W Cross (LLC MEMBER) |
| Authorized Official Contact | 3617230226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Tests LLC Po Box 6056 Corpus Christi TX 78466-6056 Ph: (361) 723-0226 | Premier Tests LLC 410 E Wildwood San Antonio TX 78212-1758 Ph: (361) 723-0226 |
| NPI Number | 1750992277 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750992277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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