Organization
COMMUNITY FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER C BOCANEGRA MD (MD LOWNER)
(210) 435-1218
Entity
Organization
Contact information
Practice address
1616 CALLAGHAN RD, SAN ANTONIO, TX 78228
(210) 435-1218
(210) 435-3162
Mailing address
1616 CALLAGHAN RD, SAN ANTONIO, TX 78228
(210) 435-1218
(210) 435-3162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121539402
—
TX
Enumeration date
10/13/2006
Last updated
07/02/2010
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