| Visiting Practitioners & Palliative Care Llc | |
|
15420 Nacogdoches Rd San Antonio TX 78247-1106 | |
| (210) 812-1743 | |
| Not Available |
| Full Name | Visiting Practitioners & Palliative Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15420 Nacogdoches Rd, San Antonio, Texas |
| Authorized Official Name and Position | Mona Talukdar (CEO) |
| Authorized Official Contact | 2105844238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Practitioners & Palliative Care Llc 15420 Nacogdoches Rd San Antonio TX 78247-1106 Ph: (210) 812-1743 | Visiting Practitioners & Palliative Care Llc 15420 Nacogdoches Rd San Antonio TX 78247-1106 Ph: (210) 812-1743 |
| NPI Number | 1063043255 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 04/06/2020 |
| Medicare PECOS PAC ID | 6305276288 |
|---|---|
| Medicare Enrollment ID | O20200416001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063043255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Subrata K Talukdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437149630 PECOS PAC ID: 4981663937 Enrollment ID: I20041006000621 |
| Provider Name | Jorge A Betanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558417147 PECOS PAC ID: 7113073495 Enrollment ID: I20090929000355 |
| Provider Name | Christina M Mkhantar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982968970 PECOS PAC ID: 5395992317 Enrollment ID: I20120827000825 |
| Provider Name | Andreia R Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881080299 PECOS PAC ID: 3375864101 Enrollment ID: I20150605000572 |
| Provider Name | Otis D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104909688 PECOS PAC ID: 9133127038 Enrollment ID: I20160714002334 |
| Provider Name | Manuel Del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669995320 PECOS PAC ID: 5597030692 Enrollment ID: I20170928003078 |
| Provider Name | Sarah Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851821789 PECOS PAC ID: 7719241959 Enrollment ID: I20180516000146 |
| Provider Name | Dwaipayan Chakraborti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069230 PECOS PAC ID: 6204076912 Enrollment ID: I20200411000189 |
| Provider Name | William Glen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396223970 PECOS PAC ID: 9234560913 Enrollment ID: I20200513001115 |
| Provider Name | Andrea Hayden Estrada Siller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386208924 PECOS PAC ID: 9638595549 Enrollment ID: I20200821000911 |
| Provider Name | Emeka C Nnabuife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497308399 PECOS PAC ID: 3678990520 Enrollment ID: I20200824003266 |
| Provider Name | Susan Sankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427662949 PECOS PAC ID: 9234559204 Enrollment ID: I20201013000354 |
| Provider Name | Stephanie Lynn Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053915496 PECOS PAC ID: 1355750449 Enrollment ID: I20210430000854 |
| Provider Name | Christine Gray Udall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144803958 PECOS PAC ID: 2365847019 Enrollment ID: I20210819000268 |
| Provider Name | Joshua M. Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407552078 PECOS PAC ID: 8224495650 Enrollment ID: I20230531000565 |
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