Healthcare Provider Details

I. General information

NPI: 1891958542
Provider Name (Legal Business Name): SAN ANTONIO PREMIER INTERNAL MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 S WW WHITE RD
SAN ANTONIO TX
78220-2531
US

IV. Provider business mailing address

1032 S WW WHITE RD
SAN ANTONIO TX
78220-2531
US

V. Phone/Fax

Practice location:
  • Phone: 210-447-3033
  • Fax: 210-447-3036
Mailing address:
  • Phone: 210-447-3033
  • Fax: 210-447-3036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AYHAM F. SHNEKER
Title or Position: PRESIDENT
Credential: MD
Phone: 210-447-3033