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Organization

JORGE L RINCON MD FACS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORGE L RINCON MD (PRESIDENT)
(210) 587-7744
Entity
Organization

Contact information

Practice address
1162 E SONTERRA BLVD STE 210, SAN ANTONIO, TX 78258-4049
(210) 587-7744
(210) 745-0990
Mailing address
PO BOX 792424, SAN ANTONIO, TX 78279-2424
(210) 683-8776
(210) 745-0990

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L8172
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0085NR
BCBS GROUP
TX
01
051736
ECFMG NUMBER
TX
01
1356303960
NPI INDIVIDUAL NUMBER
05
179313501
TX
05
179314301
TX
01
8V9840
BCBS INVIDUAL
TX
01
L8172
STATE LICENSE
TX
Enumeration date
08/04/2006
Last updated
03/26/2018
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