OrganizationLife Choices Medical ClinicNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address700 S Zarzamora St Lowr Level, San Antonio, TX 78207-5255(210) 543-7200PECOS EnrollmentBased on the most recent information from CMS, provider Life Choices Medical Clinic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1720703374Provider TypeOrganizationFull NameLife Choices Medical ClinicSubpartYesEnumeration Date10/6/2022Last Updated8/20/2024Contact InformationPractice LocationPractice Address700 S Zarzamora St Lowr Level, San Antonio, TX 78207-5255Phone(210) 543-7200Fax(210) 647-9825Mailing LocationMailing Address700 S Zarzamora St Lowr Level, San Antonio, TX 78207-5255Phone(210) 543-7200Fax(210) 829-4711Authorized OfficialNameJaster, Penne Lyn (Family Nurse Practitioner)Phone(210) 543-7200Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer