| Your Doctor On Demand Pllc | |
|
18772 Forty Six Pkwy Bldg 6 Suite 602 Spring Branch TX 78070-6899 | |
| (210) 859-9593 | |
| (210) 659-2025 |
| Full Name | Your Doctor On Demand Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18772 Forty Six Pkwy Bldg 6, Spring Branch, Texas |
| Authorized Official Name and Position | Nickolas Garcia (OWNER) |
| Authorized Official Contact | 2108599593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Doctor On Demand Pllc 18772 Forty Six Pkwy Bldg 6 Suite 602 Spring Branch TX 78070-6899 Ph: (210) 859-9593 | Your Doctor On Demand Pllc 18772 Forty Six Pkwy Bldg 6 Suite 602 Spring Branch TX 78070-6899 Ph: (210) 859-9593 |
| NPI Number | 1790532521 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 1850828435 |
|---|---|
| Medicare Enrollment ID | O20241219004433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790532521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathryn E Camplen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851881171 PECOS PAC ID: 6507105004 Enrollment ID: I20221102000053 |
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