Provider Demographics
NPI:1760886238
Name:RURAL FAMILY MEDICINE ASSOCIATES, INC
Entity Type:Organization
Organization Name:RURAL FAMILY MEDICINE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-240-0805
Mailing Address - Street 1:11765 WEST AVE
Mailing Address - Street 2:# 316
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2559
Mailing Address - Country:US
Mailing Address - Phone:210-240-0805
Mailing Address - Fax:210-785-8288
Practice Address - Street 1:11765 WEST AVE
Practice Address - Street 2:# 316
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2559
Practice Address - Country:US
Practice Address - Phone:210-240-0805
Practice Address - Fax:210-785-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty