Pankowsky, Jaime

Pankowsky, Jaime is an sole proprietor health care provider with primary practice located at 111 Dallas St , San Antonio TX 78205-1201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Pankowsky, Jaime can be contacted via phone (210) 248-7308.

Contact Information

Primary practice address
111 Dallas St San Antonio TX 78205-1201
Phone: (210) 248-7308
Fax: (210) 878-4032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X E 4132 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X E4132 Texas

Profile Details

NPI number 1023026390
LBN Legal business name Pankowsky, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Sep 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023026390 NPPES
Texas MEDICAID 032103601
Texas MEDICAID 0321036-01

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