Organization
IMED HEALTHCARE ASSOCIATES, PLLC
Active
Other names
IMED Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA S. CLOUD (VICE PRESIDENT)
(210) 575-8505
Entity
Organization
Contact information
Practice address
255 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-4076
(210) 404-0000
(210) 404-2813
Mailing address
255 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-4076
(210) 404-0000
(210) 404-2813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197507001
—
TX
01
—
DO3578
MEDICARE RR
—
01
—
H00019RT01
BCBS
TX
Enumeration date
08/27/2008
Last updated
10/28/2010
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