Shalom Family And Weight Loss Clinic, Pllc | |
9258 Culebra Rd Ste 118 San Antonio TX 78251-2872 | |
(210) 500-8639 | |
(210) 783-9179 |
Full Name | Shalom Family And Weight Loss Clinic, Pllc |
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Speciality | Family Medicine |
Location | 9258 Culebra Rd Ste 118, San Antonio, Texas |
Authorized Official Name and Position | Amy J Williams (OWNER/FNP) |
Authorized Official Contact | 2105008639 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shalom Family And Weight Loss Clinic, Pllc 8514 Kallison Arbor San Antonio TX 78254-4557 Ph: (512) 568-9636 | Shalom Family And Weight Loss Clinic, Pllc 9258 Culebra Rd Ste 118 San Antonio TX 78251-2872 Ph: (210) 500-8639 |
NPI Number | 1265118806 |
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Provider Enumeration Date | 06/27/2023 |
Last Update Date | 06/27/2023 |
Medicare PECOS PAC ID | 7810347978 |
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Medicare Enrollment ID | O20240102002167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265118806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amy Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023759966 PECOS PAC ID: 1850778044 Enrollment ID: I20220509001466 |
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