Individual
CECILIA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7500 BARLITE BLVD, STE 201, SAN ANTONIO, TX 78224-1361
(210) 921-3939
(210) 921-3941
Mailing address
7500 BARLITE BLVD, STE 201, SAN ANTONIO, TX 78224-1361
(210) 921-3939
(210) 921-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H3630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117688504
WELLMED MEDICAID
TX
01
—
TXB121163
WELLMED MEDICARE
TX
Enumeration date
07/07/2005
Last updated
04/29/2019
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