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BANDERA FAMILY HEALTH CARE P. A. NPI 1619089216


NPI Information

NPI: 1619089216
Provider Name: BANDERA FAMILY HEALTH CARE, P. A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1064005

Address:
7579 N LOOP 1604 W
SUITE 100
SAN ANTONIO, TX
ZIP 78249
Phone: (210) 695-1900
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BANDERA FAMILY HEALTH CARE, P. A. is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BANDERA FAMILY HEALTH CARE, P. A. NPI is 1619089216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7579 N LOOP 1604 W
SUITE 100
SAN ANTONIO, TX
ZIP 78249-781
Phone: (210) 695-1900
Fax: (210) 695-1901

The provider's authorized official is Ramon G Reyes .
The authorized official title is Owner and has the following contact phone number (210) 695-1900.

The CLIA number assigned to this NPI record is 45D1064005 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineJ1367TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1188611102MEDICAIDTEXAS
2188611101MEDICAIDTEXAS
30024QFOTHERTEXASBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.