SAN ANTONIO HEALTHCARE CENTER LLC NPI 1639596216

NPI Information

NPI: 1639596216
Provider Name: SAN ANTONIO HEALTHCARE CENTER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D0981222

Address:
303 E QUINCY ST
SUITE 102
SAN ANTONIO, TX
ZIP 78215
Phone: (210) 229-7242
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SAN ANTONIO HEALTHCARE CENTER LLC is a family nurse practitioner in San Antonio, TX. SAN ANTONIO HEALTHCARE CENTER LLC NPI is 1639596216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 E QUINCY ST
SUITE 102
SAN ANTONIO, TX
ZIP 78215-918
Phone: (210) 229-7242
Fax: (210) 227-5092

The provider's authorized official is Thimios Partalas .
The authorized official title is President and has the following contact phone number (210) 347-9864.

The CLIA number assigned to this NPI record is 45D0981222 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 3/21/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NN0400X	Chiropractor	Neurology	7412	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	777944	TEXAS	Yes

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

NPI Synchronization or Removal

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