| San Gabriel Family Medicine, Pllc | |
|
921 W New Hope Dr Suite 401 Cedar Park TX 78613-6784 | |
| (512) 986-8858 | |
| (512) 986-8853 |
| Full Name | San Gabriel Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 921 W New Hope Dr, Cedar Park, Texas |
| Authorized Official Name and Position | Rosie Augustin-wheeler (PHYSICIAN/CEO) |
| Authorized Official Contact | 5129868858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Family Medicine, Pllc 921 W New Hope Dr Suite 401 Cedar Park TX 78613-6784 Ph: (512) 986-8858 | San Gabriel Family Medicine, Pllc 921 W New Hope Dr Suite 401 Cedar Park TX 78613-6784 Ph: (512) 986-8858 |
| NPI Number | 1962708917 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Medicare PECOS PAC ID | 0840473203 |
|---|---|
| Medicare Enrollment ID | O20110322000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962708917 | NPI | - | NPPES |
| 1396777355 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N1984 (Texas) | Primary |
| Provider Name | Rosie Augustin Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396777355 PECOS PAC ID: 8729091996 Enrollment ID: I20060711000467 |
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