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NPI Code Detail

MEDICARE: COMAL FAMILY PRACTICE ASSOCIATES

MEDICARE: COMAL FAMILY PRACTICE ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200RM55OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1366639353
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMAL FAMILY PRACTICE ASSOCIATES
Provider Business Mailing Address
First Line : 133 BROOKHOLLOW
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78132-5200
Country : US
Telephone Number : 830-625-7748
Fax Number : 830-625-2563
Provider Business Practice Location Address
First Line : 955 LOOP 337
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-3556
Country : US
Telephone Number : 830-625-7748
Fax Number : 830-625-2563
Authorized Official
Title or Position : PARTNER
Name : LYNN THOMPSON
Credential : MD
Telephone Number : 830-625-7748
Provider Enumeration Date : 10/03/2007
Last Update Date : 12/01/2015

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Directions to “COMAL FAMILY PRACTICE ASSOCIATES ” Practice Location

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