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Miguel Alejandro Palacios

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

This provider is enrolled in PECOS as MIGUEL PALACIOS.

Based on the most recent information from CMS, provider Miguel Alejandro Palacios is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700204468
Provider Type
Individual
Full Name
Palacios, Miguel Alejandro
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/31/2014
Last Updated
7/21/2022

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-3985

Unlisted Fax

Mailing Location

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

(210) 358-3985

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License R1842 Texas

Provider Identifiers

ID	Description	Issuer
ID 371285301	Description Medicaid	Issuer Unlisted Texas
ID 371285302	Description Other	Issuer CSHCN Texas

Miguel Alejandro Palacios

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Murillo, Vanessa Luz

Andry, Nehman Moses

Doty, Sue

Aguilar, Leticia T

Fernandez Falcon, Cristian Pablo

Coston, Matthew Jason

Myers, Abigail C

Benavides, Melissa Ann

Mohr, Michael J.