Look up the most recent NPI and PECOS records

Spire Medical Management, Inc

Family Medicine

Allopathic & Osteopathic Physicians

323 NW 24th St, San Antonio, TX 78207-3209

PECOS Enrollment

Based on the most recent information from CMS, provider Spire Medical Management, Inc 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
1558638262
Provider Type
Organization
Full Name
Spire Medical Management, Inc

Subpart
No
Enumeration Date
11/23/2011
Last Updated
11/23/2011

Contact Information

Practice Location

323 NW 24th St, San Antonio, TX 78207-3209

(210) 438-8055

(210) 979-7843

Mailing Location

323 NW 24th St, San Antonio, TX 78207-3209

(210) 438-8055

(210) 979-7843

Authorized Official

Gruesbeck, Clay (Medical Director)

(210) 438-8055

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License H7749 Texas

Spire Medical Management, Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Coston, Matthew Jason

Carolina, Tabitha Joana Faith

Rodriguez Pena, Stephanie Lynn

Shi, Yun

Omole, Oluwatosin

Martinez, Rafael

Norris, Simone L

Benavides, Melissa Ann

Mohr, Michael J.

Feili, Ali