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K.A.D.C. LLC NPI 1144432642


NPI Information

NPI: 1144432642
Provider Name: K.A.D.C., LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
5540 OLD SEGUIN ROAD
SAN ANTONIO, TX
ZIP 78219
Phone: (210) 797-8812
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K.A.D.C., LLC is a point of service in San Antonio, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. K.A.D.C., LLC NPI is 1144432642. The provider is registered as an organization entity type.

The provider's business location address is:

5540 OLD SEGUIN ROAD
SAN ANTONIO, TX
ZIP 78219-043
Phone: (210) 797-8812
Fax: (210) 310-1602

The provider's authorized official is Mercedes M. Hysaw .
The authorized official title is Owner Director and has the following contact phone number (210) 797-8812.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.


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
1305S00000XPoint of Service010166TEXASYes

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
1$$$$$$$$$OTHERTEXASSOCIAL SECURITY NUMBER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.