Jaime Pankowsky in San Antonio - Adult Medicine

Jaime Pankowsky - NPI 1023026390

Jaime Pankowsky is a Adult Medicine in San Antonio, Texas. Jaime Pankowsky practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jaime Pankowsky is 1023026390. The last update date is 2011-09-12.

Jaime Pankowsky's current location address is 454 Pecan Way Dr, San Antonio, Texas. You can contact this provider via phone number 2102487308 and fax number 2108784032. The mailing address for Jaime Pankowsky is 454 Pecan Way Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaime Pankowsky
Address 454 Pecan Way Dr, San Antonio, Texas
Phone Number 2102487308
Fax Number 2108784032
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1023026390
Provider Enumeration Date 2006-08-03
Last Updated Date 2011-09-12

Provider Mailing Address Detail

Address 454 Pecan Way Dr
City San Antonio
State Texas (TX)
Post Code 782401532
Phone Number 2102487308
Fax Number 2108784032

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No E 4132
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32103601 TX --
0321036-01 TX --

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FAQs about Jaime Pankowsky

What is the Jaime Pankowsky's 1023026390?

The Jaime Pankowsky's NPI (National Provider Identifier) Number is 1023026390. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jaime Pankowsky's facilities are situated?

The facilities of Jaime Pankowsky are physically located at the following address: 454 Pecan Way Dr, San Antonio, TX, 782401532.

What is the Jaime Pankowsky's area of specialization and corresponding taxonomy classification?

The Jaime Pankowsky's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.

On what date did Jaime Pankowsky receive its 1023026390 assignment from the Centers for Medicare & Medicaid Services?

The Jaime Pankowsky was assigned its 1023026390 on 2006-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jaime Pankowsky last refreshed?

The information related to the Jaime Pankowsky, including its address, specialty, and other relevant details, was last updated on 2011-09-12.

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