Organization
JEREMIAS M. ABUEME,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIA P ABUEME (MANAGER)
(210) 615-8434
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR STE 130, SAN ANTONIO, TX 78229-6023
(210) 615-8434
(210) 615-8436
Mailing address
5282 MEDICAL DR STE 130, SAN ANTONIO, TX 78229-6023
(210) 615-8434
(210) 615-8436
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
J7401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113229203
—
TX
Enumeration date
08/29/2011
Last updated
08/29/2011
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