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NPI Code Detail

MEDICARE: TENET

MEDICARE: TENET
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
1261QP2300XPrimary Care Clinic/CenterAP130893TX

General Provider Information

NPI Number : 1679925242
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENET
Provider Business Mailing Address
First Line : 8200 PERRIN BEITEL RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-1547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8200 PERRIN BEITEL RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-1547
Country : US
Telephone Number : 210-967-1185
Fax Number :
Authorized Official
Title or Position : SUPERVISING PHYSICIAN
Name : DR. ROGER MOCZYGEMBA
Credential : M.D.
Telephone Number : 210-967-1855
Provider Enumeration Date : 07/07/2016
Last Update Date : 07/07/2016

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Directions to “TENET ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.