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Organization
MA MEDICAL SERVICES, LLC
Active
Organization
MA MEDICAL SERVICES, LLC
Active
Other names
MA Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN CONTRERAS PHD(C) (CO-OWNER/PROGRAM MANAGER)
(210) 248-9458
Entity
Organization
Contact information
Practice address
3453 N PANAM EXPY, STE 101, SAN ANTONIO, TX 78219-2333
(210) 354-7139
Mailing address
3453 N PANAM EXPY, STE 101, SAN ANTONIO, TX 78219-2333
(210) 385-6168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0015X
Psychosomatic Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
07/01/2010
Last updated
02/27/2017
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