PREMIER PROVIDERS MEDCLINIC, PLLC (NPI# 1588294300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588294300 |
Entity Type | Organization |
Organization Name | PREMIER PROVIDERS MEDCLINIC, PLLC |
Practice Address |
9130 Wurzbach Rd Ste 102 San Antonio TX 78240-1070 |
Practice Telephone | 2104814455 |
Practice Fax Number | 2104814456 |
Mailing Telephone | 2104814455 |
Mailing Fax Number | 2104814456 |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-09-23 |
Authorized Official Name | SNODA ALAHMAD (OWNER) |
Authorized Official Telephone | 2104814455 |
Authorized Official Credential | DNP, AGPCNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9130 WURZBACH RD STE 102 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78240-1070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316583545 | Premier Providers Medclinc,pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2019-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
Find all providers in zip 78240 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548882764 | Martha Ann Ruiz | Nurse Practitioner | 155 W Bonner Ave, San Antonio, TX 78214-2475 | 2020-05-11 |
1316583545 | Premier Providers Medclinc,pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2019-11-22 |
1215587365 | Beng Keong Ooi | Nurse Practitioner | 4315 Renault Dr, San Antonio, TX 78218-5034 | 2019-09-19 |
1548725658 | Jennifer Ybarra Dimas | Nurse Practitioner | 94 Briggs St Ste 400, San Antonio, TX 78224-1206 | 2019-02-02 |
1730658626 | Vanessa Mauricio | Nurse Practitioner | 14830 Peoples Dr, San Antonio, TX 78253-6234 | 2018-11-20 |
1275063331 | Bernadette Kucinski | Nurse Practitioner | 1222 N Main Ave Ste 115, San Antonio, TX 78212-5780 | 2017-06-12 |
1083079404 | Daja Carrick Hernandez | Nurse Practitioner | 2226 Bigmouth Rod, San Antonio, TX 78224-3155 | 2015-12-30 |
1619501723 | Crystal Monique Banda | Nurse Practitioner | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2020-02-27 |
1710522040 | Angelita Estrada | Nurse Practitioner | 3939 Medical Dr Ste 100, San Antonio, TX 78229-2292 | 2019-11-11 |
1053956623 | Gilbert Roman Cervantes | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235-5154 | 2019-11-07 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78240 |
Please comment or provide details below to improve the information on PREMIER PROVIDERS MEDCLINIC, PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.