MEDICARE: TEXAN FAMILY CLINIC PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1982121620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAN FAMILY CLINIC PLLC

Provider Business Mailing Address
First Line	:	21518 ROAN BLF
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2671
Country	:	US
Telephone Number	:	210-274-3667
Fax Number	:

Provider Business Practice Location Address
First Line	:	5230 DE ZAVALA RD STE 212
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1731
Country	:	US
Telephone Number	:	210-951-9980
Fax Number	:	210-485-1413

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DANILO H HOYUMPA
Credential	:	MD
Telephone Number	:	210-951-9980

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	08/24/2017

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