| Texas Medclinic | |
|
23611 W Ih 10 Ste 101 San Antonio TX 78257-1693 | |
| (210) 698-6617 | |
| (210) 698-6627 |
| Full Name | Texas Medclinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 23611 W Ih 10 Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Erica Hauser (PRESIDENT) |
| Authorized Official Contact | 3125905372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Medclinic Po Box 4165 Portland OR 97208-4165 Ph: (210) 349-5577 | Texas Medclinic 23611 W Ih 10 Ste 101 San Antonio TX 78257-1693 Ph: (210) 698-6617 |
| NPI Number | 1114382918 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 6305149121 |
|---|---|
| Medicare Enrollment ID | O20160721002638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0031 (Texas) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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