CENTRO MEDICO FAMILIAR EBENEZER (NPI# 1841664067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841664067 |
| Entity Type | Organization |
| Organization Name | CENTRO MEDICO FAMILIAR EBENEZER |
| Practice Address |
5650 N Foster Rd San Antonio TX 78244-1106 |
| Mailing Address |
8212 Heights Vly Converse TX 78109-3502 |
| Practice Telephone | 2109970103 |
| Practice Fax Number | 2103756148 |
| Mailing Telephone | 2107098760 |
| Mailing Fax Number | 2103756148 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Authorized Official Name | CARLOS ALBERTO COSME-THILLET (OWNER/NP) |
| Authorized Official Telephone | 2109970103 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP 124023 | TX | Ambulatory Health Care Facilities |
| Street Address |
5650 N FOSTER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78244-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
| 1073004594 | Adam Sumner Dmd Pllc | Dentist | 5975 W Farm To Market Rd 78 #360, San Antonio, TX 78244 | 2018-05-21 |
| 1689181091 | Texas Tens Unlimited Inc. | Durable Medical Equipment & Medical Supplies | 7975 Fm 78, Suite 2, San Antonio, TX 78244 | 2018-01-08 |
| 1699144022 | Rackham Dental LLC | Dentist | 6658 Summer Fest Drive, San Antonio, TX 78244 | 2015-09-16 |
| 1366822421 | Larry Williamson | Counselor | 602 E. Afton Oaks Blvd, San Antonio, TX 78244 | 2015-06-04 |
| 1417334574 | Jamaica D Bates | Counselor | 7134 Elm Trail, San Antonio, TX 78244 | 2015-04-28 |
| 1386984656 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4096 North Foster, San Antonio, TX 78244 | 2013-02-25 |
| 1033459607 | Doris A Mantos | Durable Medical Equipment & Medical Supplies | 7975 Fm 78 Ste 1, San Antonio, TX 78244 | 2013-02-19 |
| 1588822308 | Costance Yvette Staten | Assisted Living Facility | 7000 Gulfshore, San Antono, TX 78244 | 2008-05-29 |
| 1073734679 | Felix H Flores | Physical Therapy Assistant | 4154 Mystic Sunrise, San Antonio, TX 78244 | 2007-05-01 |
| Find all providers in zip 78244 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| 1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
| 1013488626 | Campus Bullis Primary Care | Clinic/Center | 6865 Camp Bullis, Suite 201, San Antonio, TX 78256 | 2018-12-07 |
| 1730665779 | Nutrition for You LLC | Clinic/Center | 1103 Red Rock Rnch, San Antonio, TX 78245-4435 | 2018-07-12 |
| 1285133983 | Medical Care Innovation, P.C. | Clinic/Center | 110000 Rogers Run, San Antonio, TX 78251 | 2018-02-08 |
| 1962936468 | Synergenx Health - Northwest San Antonio LLC | Clinic/Center | 11163 W Loop 1604 N Ste 203, San Antonio, TX 78254-2266 | 2017-04-12 |
| 1124578018 | Alison Wiesenthal, Md, Pa | Clinic/Center | 333 W Olmos Dr, San Antonio, TX 78212-1959 | 2016-10-04 |
| 1679925242 | Tenet | Clinic/Center | 8200 Perrin Beitel Rd, San Antonio, TX 78218-1547 | 2016-07-07 |
| 1700205747 | Primary Wellness Associates, LLC | Clinic/Center | 131 E Terra Alta Dr, San Antonio, TX 78209-2742 | 2014-04-07 |
| 1033545363 | Vicki J Sparks, Md, PC | Clinic/Center | 114 Southbridge St, Suite D, San Antonio, TX 78216-6264 | 2013-09-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78244 |
Please comment or provide details below to improve the information on CENTRO MEDICO FAMILIAR EBENEZER.
| 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.