| Westover Hills Primary Care | |
|
9022 Culebra Rd Ste 112 San Antonio TX 78251 | |
| (210) 802-3777 | |
| Not Available |
| Full Name | Westover Hills Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 9022 Culebra Rd, San Antonio, Texas |
| Authorized Official Name and Position | Stella Koretsky (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2108023777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westover Hills Primary Care 8910 Whitney Cir San Antonio TX 78254-5706 Ph: () - | Westover Hills Primary Care 9022 Culebra Rd Ste 112 San Antonio TX 78251 Ph: (210) 802-3777 |
| NPI Number | 1316421506 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 6204172638 |
|---|---|
| Medicare Enrollment ID | O20190603000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316421506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stella Koretsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487841342 PECOS PAC ID: 3870683543 Enrollment ID: I20071218000459 |
| Provider Name | Xelena Christine Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861985822 PECOS PAC ID: 5395093934 Enrollment ID: I20180730002596 |
| Provider Name | Jameve S Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780226654 PECOS PAC ID: 7618365651 Enrollment ID: I20211025003053 |
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