| Your Choice Clinic | |
|
2207 S Zarzamora St San Antonio TX 78207-8024 | |
| (210) 212-2266 | |
| (210) 271-3600 |
| Full Name | Your Choice Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2207 S Zarzamora St, San Antonio, Texas |
| Authorized Official Name and Position | Michele Mayfield Durham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2102122266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Choice Clinic 1017 N Main Ave Suite 200 San Antonio TX 78212-4723 Ph: (210) 212-2266 | Your Choice Clinic 2207 S Zarzamora St San Antonio TX 78207-8024 Ph: (210) 212-2266 |
| NPI Number | 1144767393 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 2668749011 |
|---|---|
| Medicare Enrollment ID | O20170606002249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Katrinia L Kraemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649467366 PECOS PAC ID: 9032207501 Enrollment ID: I20071116000213 |
| Provider Name | Fernando Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164539508 PECOS PAC ID: 6507919263 Enrollment ID: I20090729000252 |
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