HomeNPI Verification
NPI Verification
National Provider Identifier: 1417644873
Accession Medical Waiver Division
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
Practice Address
550 D WEST , SUITE 1
SAN ANTONIO, TX 78150
Phone: 210-652-9205
NPI Enumeration Date
April 18, 2023
NPI Number
1417644873Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry