| River City Internal Medicine | |
|
11212 State Highway 151 Ste 120 San Antonio TX 78251-4498 | |
| (623) 707-6730 | |
| Not Available |
| Full Name | River City Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 11212 State Highway 151 Ste 120, San Antonio, Texas |
| Authorized Official Name and Position | Won Hee Park (PHYSICIAN) |
| Authorized Official Contact | 6237076730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Internal Medicine 7015 Bella Mist San Antonio TX 78256-2118 Ph: (623) 707-6730 | River City Internal Medicine 11212 State Highway 151 Ste 120 San Antonio TX 78251-4498 Ph: (623) 707-6730 |
| NPI Number | 1386470250 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 9335670728 |
|---|---|
| Medicare Enrollment ID | O20241009003659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386470250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Won H. Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337896 PECOS PAC ID: 8123283918 Enrollment ID: I20120628000536 |
| Provider Name | Kristine Faith Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497355135 PECOS PAC ID: 9133533060 Enrollment ID: I20210204000037 |
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