James Rudy Mayberry | San Antonio, TX • PECOS Search

James Rudy Mayberry

Family Medicine

Allopathic & Osteopathic Physicians

1102 Barclay St, San Antonio, TX 78207-7161

(210) 233-7000 (210) 723-1045

PECOS Enrollment

Based on the most recent information from CMS, provider James Rudy Mayberry does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326572868
Provider Type
Individual
Full Name
Mayberry, James Rudy
Gender
Male

Sole Proprietor
No
Enumeration Date
4/11/2017
Last Updated
1/27/2026

Contact Information

Practice Location

1102 Barclay St, San Antonio, TX 78207-7161

Unlisted Fax

Mailing Location

22800 Bulverde Rd Apt 1707, San Antonio, TX 78261-3050

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License T3333 Texas