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PHYSICIAN PRIMECARE INC NPI 1194791566


NPI Information

NPI: 1194791566
Provider Name: PHYSICIAN PRIMECARE, INC

Doing Business As: HEALTHTEXAS MEDICAL GROUP OF SAN ANTONIO

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D1034282

Address:
2961 MOSSROCK
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 731-4800
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PHYSICIAN PRIMECARE, INC is an internal medicine in San Antonio, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PHYSICIAN PRIMECARE, INC NPI is 1194791566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healthtexas Medical Group Of San Antonio.

The provider's business location address is:

2961 MOSSROCK
SAN ANTONIO, TX
ZIP 78230-119
Phone: (210) 731-4800
Fax: (210) 731-4810

The provider's authorized official is Jeannine Ruffner .
The authorized official title is Cfo/cdo and has the following contact phone number (210) 731-4800.

The CLIA number assigned to this NPI record is 45D1034282 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 2/13/2020.


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 MedicineNo
2207R00000XInternal 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
11844557301MEDICAIDTEXAS

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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