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Organization
MEDCARE ASSOCIATES, P.A.
Active
Organization
MEDCARE ASSOCIATES, P.A.
Active
Other names
Bandera Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FRAZIER (EXECUTIVE ADMINISTRATOR)
(830) 816-5700
Entity
Organization
Contact information
Practice address
1050 HIGHWAY 16 SOUTH, BANDERA, TX 78003
(830) 796-7713
(830) 796-7744
Mailing address
PO BOX 2870, BANDERA, TX 78003-2870
(830) 796-7713
(830) 796-7744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055BY
BCBS OF TEXAS
TX
01
—
10002909
AMERIGROUP
TX
05
—
1215025598
—
TX
01
—
191965261126
HUMANA
TX
01
—
2132872
AETNA
—
01
—
3347
SUPERIOR HEALTH PLAN
TX
01
—
414865
FIRST HEALTH/COVENTRY
TX
01
—
771
COMMUNITY FIRST HEALTH
TX
Enumeration date
10/11/2006
Last updated
08/17/2018
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