Organization
CENTRO MEDICO FAMILIAR EBENEZER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALBERTO COSME-THILLET NP (OWNER/NP)
(210) 997-0103
Entity
Organization
Contact information
Practice address
5650 N FOSTER RD, SAN ANTONIO, TX 78244-1106
(210) 997-0103
(210) 375-6148
Mailing address
8212 HEIGHTS VLY, CONVERSE, TX 78109-3502
(210) 709-8760
(210) 375-6148
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP 124023
TX
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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