Organization · NPI-2

Abc Family Medicine PA

Family Medicine, Adult Medicine · San Antonio, TX

NPI number1598970725
StatusActive
Last updated in NPPESMay 24, 2010

Details

NPI
1598970725
Entity type
Organization (NPI-2)
Legal business name
Abc Family Medicine PA
Organization subpart
No
Enumeration date
May 11, 2007
Last updated
May 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineH7995TXYes

Practice location

7400 Crestway
San Antonio, TX 78233

Phone 210-569-9800 · Fax 210-646-5606

Mailing address

7400 Crestway
San Antonio, TX 78233

Phone 210-569-9800 · Fax 210-646-5606

Authorized official

Douglas S Denham
President
2105699800

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine, Adult Medicine providers in San Antonio, TX