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FAMILY HEALTH OF SOUTH TEXAS PA NPI 1861730939


NPI Information

NPI: 1861730939
Provider Name: FAMILY HEALTH OF SOUTH TEXAS, PA

Doing Business As: MISSION TRAILS FAMILY HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1095180

Address:
4522 FREDERICKSBURG RD STE A5
SAN ANTONIO, TX
ZIP 78201
Phone: (210) 692-7171
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FAMILY HEALTH OF SOUTH TEXAS, PA is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY HEALTH OF SOUTH TEXAS, PA NPI is 1861730939. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mission Trails Family Health.

The provider's business location address is:

4522 FREDERICKSBURG RD STE A5
SAN ANTONIO, TX
ZIP 78201-517
Phone: (210) 692-7171
Fax: (210) 277-7460

The provider's authorized official is Linda I Esquivel .
The authorized official title is President and has the following contact phone number (210) 682-9434.

The CLIA number assigned to this NPI record is 45D1095180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 3/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1337495103MEDICAIDTEXAS
2337495101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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