Accession Medical Waiver Division
Family Medicine in San Antonio, TX. Organization (NPI-2).
NPI number1417644873
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1417644873
- Entity type
- Organization (NPI-2)
- Legal business name
- Accession Medical Waiver Division
- Organization subpart
- No
- Enumeration date
- Apr 18, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
550 D West , Suite 1San Antonio, TX 78150
Phone 210-652-9205
Mailing address
550 D West , Suite 1San Antonio, TX 78150
Phone 210-652-9205
Authorized official
Ian David Gregory
Chief Accession Medical Waiver Div
2106529205
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