Individual
DR. TIMOTHY SCOTT PALOMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121
Mailing address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K9863
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
K9863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10594522
CAQH
TX
05
—
147688902
—
TX
01
—
8K7142
BCBS
TX
Enumeration date
01/04/2007
Last updated
01/30/2019
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