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GREATER SA HOUSE CALLS LLC NPI 1669701959


NPI Information

NPI: 1669701959
Provider Name: GREATER SA HOUSE CALLS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2010598

Address:
5309 WURZBACH RD STE 106
SAN ANTONIO, TX
ZIP 78238
Phone: (210) 647-4671
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GREATER SA HOUSE CALLS, LLC is a family nurse practitioner in San Antonio, TX. GREATER SA HOUSE CALLS, LLC NPI is 1669701959. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5309 WURZBACH RD STE 106
SAN ANTONIO, TX
ZIP 78238-431
Phone: (210) 647-4671
Fax: (210) 647-7552

The provider's authorized official is Ughanmwan Tokunbor Efeovbokhan .
The authorized official title is Owner and has the following contact phone number (210) 789-1274.

The CLIA number assigned to this NPI record is 45D2010598 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 3/22/2022.


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
1207R00000XInternal MedicineNo
2363LG0600XNurse PractitionerGerontologyNo
3363LF0000XNurse PractitionerFamilyYes

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

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.