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Organization
JUAREZ & JUAREZ FAMILY MEDICAL CLINIC, INC.
Active
Organization
JUAREZ & JUAREZ FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO REGINO JUAREZ M.D, (PRESIDENT/OWNER)
(210) 681-6380
Entity
Organization
Contact information
Practice address
4151 CALLAGHAN RD, STE 102, SAN ANTONIO, TX 78228-3476
(210) 681-6380
(210) 521-6200
Mailing address
4151 CALLAGHAN RD, STE 102, SAN ANTONIO, TX 78228-3476
(210) 681-6380
(210) 521-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F0534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00ML01
MEDICARE ID
TX
05
—
110270902
—
TX
Enumeration date
01/08/2010
Last updated
01/08/2010
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