| Sa Premier Im | |
|
1032 S Ww White Rd San Antonio TX 78220-2531 | |
| (210) 447-3033 | |
| (210) 447-3036 |
| Full Name | Sa Premier Im |
|---|---|
| Speciality | Internal Medicine |
| Location | 1032 S Ww White Rd, San Antonio, Texas |
| Authorized Official Name and Position | Ayham F. Shneker (PRESIDENT) |
| Authorized Official Contact | 2104473033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Premier Im 1032 S Ww White Rd San Antonio TX 78220-2531 Ph: (210) 447-3033 | Sa Premier Im 1032 S Ww White Rd San Antonio TX 78220-2531 Ph: (210) 447-3033 |
| NPI Number | 1891958542 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Medicare PECOS PAC ID | 6608935366 |
|---|---|
| Medicare Enrollment ID | O20090106000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891958542 | NPI | - | NPPES |
| 0098RT | Other | TX | BCBS |
| 202478801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Fernando Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033101415 PECOS PAC ID: 2163479684 Enrollment ID: I20050406000409 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922120526 PECOS PAC ID: 2365456019 Enrollment ID: I20060201000653 |
| Provider Name | Cheryl J King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588693154 PECOS PAC ID: 2062587249 Enrollment ID: I20080822000385 |
| Provider Name | Ayham Shneker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871557454 PECOS PAC ID: 1355397944 Enrollment ID: I20081231000058 |
| Provider Name | Lafitte Jermaine Holmes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013217876 PECOS PAC ID: 7517156912 Enrollment ID: I20110120000376 |
| Provider Name | Halim Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992821300 PECOS PAC ID: 7517067366 Enrollment ID: I20130402000389 |
| Provider Name | Ronald G Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186625 PECOS PAC ID: 7911220850 Enrollment ID: I20141229000443 |
| Provider Name | Danielle Favors Magana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588119010 PECOS PAC ID: 6305124322 Enrollment ID: I20161026001711 |
| Provider Name | Nancy Elawabdeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972965564 PECOS PAC ID: 2466782628 Enrollment ID: I20191001002558 |
| Provider Name | Mike Ledesma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306261599 PECOS PAC ID: 3577996610 Enrollment ID: I20191204001439 |
| Provider Name | Christine Bollom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295366045 PECOS PAC ID: 8729419320 Enrollment ID: I20200515000133 |
| Provider Name | Staci Christine Fetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942070305 PECOS PAC ID: 1355794827 Enrollment ID: I20240131003509 |
| Provider Name | Mohsen Barmada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114238953 PECOS PAC ID: 7416197082 Enrollment ID: I20250506002045 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 |
Doctor at Your Service PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 |
Alexis Wiesenthal MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 |
Insulin Rounds P a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 |