Provider Demographics
NPI:1356339550
Name:PILCHER, JOHN A JR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:PILCHER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9150 HUEBNER ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1334
Mailing Address - Country:US
Mailing Address - Phone:210-614-3370
Mailing Address - Fax:214-614-6859
Practice Address - Street 1:9618 HUEBNER RD
Practice Address - Street 2:STE 202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1776
Practice Address - Country:US
Practice Address - Phone:210-614-3370
Practice Address - Fax:214-614-6859
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2016-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK6688208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81581XOtherBLUE CROSS BLUE SHIELD
TX47478501Medicaid
TX81581XOtherBLUE CROSS BLUE SHIELD
TXG82503Medicare UPIN