MEDICARE: CITY OF SAN ANTONIO TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	015009	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053377713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SAN ANTONIO TEXAS

Provider Business Mailing Address
First Line	:	PO BOX 158
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78291-0158
Country	:	US
Telephone Number	:	210-227-7252
Fax Number	:	210-224-6945

Provider Business Practice Location Address
First Line	:	315 S SANTA ROSA AVE
Second Line	:	SUITE 2000
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-4557
Country	:	US
Telephone Number	:	210-207-7525
Fax Number	:

Authorized Official
Title or Position	:	DIVISION CHIEF OF EMS
Name	:	MR. REYNALDO GARZA
Credential	:
Telephone Number	:	210-207-7525

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	04/12/2023

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Directions to “CITY OF SAN ANTONIO TEXAS ” Practice Location

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