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LAKE MI MOBILE DOCTORS PC NPI 1134472244


NPI Information

NPI: 1134472244
Provider Name: LAKE MI MOBILE DOCTORS PC

Doing Business As: MOBILE DOCTORS OF SAN ANTONIO

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3201 CHERRY RIDGE ST
SUITE C-315
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 319-5487
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LAKE MI MOBILE DOCTORS PC is a geriatric medicine internal medicine in San Antonio, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. LAKE MI MOBILE DOCTORS PC NPI is 1134472244. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mobile Doctors Of San Antonio.

The provider's business location address is:

3201 CHERRY RIDGE ST
SUITE C-315
SAN ANTONIO, TX
ZIP 78230-823
Phone: (210) 319-5487
Fax: (210) 342-2300

The provider's authorized official is Tysyn Contreras .
The authorized official title is Director Of Quality Assurance and has the following contact phone number (773) 751-7200.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 10/26/2012.


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
1213E00000XPodiatristNo
2207RG0300XInternal MedicineGeriatric MedicineYes

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
1PENDINGMEDICARE PINTEXAS

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

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