Unknown Individual – Internal Medicine Physician, NPI 1861504912
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
San Antonio State Supported Living Center, 6711, South New Braunfels Avenue, San Antonio, Bexar County, Texas, 78223, United States
SUITE 500
SAN ANTONIO, TX 782233005
Phone: (210) 531-5313
Type: Location
157, County Road 301, Floresville, Wilson County, Texas, 78114, United States
FLORESVILLE, TX 781146001
Phone: (830) 216-2414
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78223)
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