Provider Demographics
NPI:1104001171
Name:CAREMED HEALTH SERVICES P.A
Entity type:Organization
Organization Name:CAREMED HEALTH SERVICES P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-656-3109
Mailing Address - Street 1:PO BOX 17156
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0156
Mailing Address - Country:US
Mailing Address - Phone:210-656-3109
Mailing Address - Fax:210-656-4469
Practice Address - Street 1:8715 VILLAGE DR
Practice Address - Street 2:SUITE 320
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5405
Practice Address - Country:US
Practice Address - Phone:210-656-3109
Practice Address - Fax:210-656-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF73095Medicare UPIN
TX8C0781Medicare PIN