Medical Center South Texas Center For Pediatric Care

NPI 1164472189 - Pediatrics - 208000000X

NPI Details
NPI 1164472189
Enumeration Date 05/11/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISA MICHELLE LISA
Position CREDENTIALING MANAGER
Phone (210) 576-0533
Fax (210) 226-4676
Practice Location
1954 E HOUSTON ST
SUITE 104
SAN ANTONIO TX, 78202-2951, US
Phone (210) 576-0533
Fax (210) 226-4676
Business Location
2833 BABCOCK RD
SUITE 300
SAN ANTONIO TX, 78229-5390, US
Phone (210) 576-0533
Fax (210) 226-4676
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Medical Center South Texas Center For Pediatric Care NPI is 1164472189, taxonomy code is 208000000X Medical Center South Texas Center For Pediatric Care physically located at 1954 E Houston St, San Antonio TX, 78202-2951. NPI Number 1033115704 has the healthcare provider type.

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1164472189 NPI number is provided on an as is basis without warranty of any kind. 1164472189 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Center South Texas Center For Pediatric Care are for informational purposes only.