Centromed Southside Medical Clinic is a Dental Clinic in San Antonio, Texas. It is located at 3750 Commercial Ave, San Antonio, TX and its contact number is 210-334-3700. The authorized person for Centromed Southside Medical Clinic is Chuck Walzel
who is Cfo of the clinic and their contact number is 210-334-3724. The primary license number for Centromed Southside Medical Clinic is HBOCS00758-04-00 (Federally Qualified Health Center (FQHC)) in Texas. Centromed Southside Medical Clinic Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Centromed Southside Medical Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Centromed Southside Medical Clinic
Specialization:
General Practice Dentistry
Clinic Address:
3750 Commercial Ave, San Antonio, Texas, 78221-3117
Phone:
210-334-3700
Fax:
210-922-0162
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Chuck Walzel
Position:
Cfo
Contact Number:
210-334-3724
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Centromed Southside Medical Clinic clinic are as mentioned below.
NPI Number:
1104998749
NPI Enumeration Date:
15 Nov, 2006
NPI Last Update On:
18 Aug, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centromed Southside Medical Clinic are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
HBOCS00758-04-00
Texas
Primary
General Practice
HBOCS007758-04-00
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00MT08
Other
Texas
Group Medicare
120980106
Medicaid
Texas
G60232-01
Other
Texas
Delta Dental
120980102
Medicaid
Texas
120980103
Medicaid
Texas
120980101
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Centromed Southside Medical Clinic 3750 Commercial Ave, San Antonio, Texas
Zip:
78221-3117
Phone Number:
210-334-3700
Fax Number:
210-922-0162
Patients can reach Centromed Southside Medical Clinic at 3750 Commercial Ave, San Antonio, Texas or can call to book an appointment on 210-334-3700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.