MEDICARE: HOLY CROSS FAMILY PRACTICE ASSOCIATION

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	207Q00000X	Family Medicine Physician	G5129	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	:	1093791139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY CROSS FAMILY PRACTICE ASSOCIATION

Provider Business Mailing Address
First Line	:	1511 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4006
Country	:	US
Telephone Number	:	210-433-2334
Fax Number	:	210-433-4572

Provider Business Practice Location Address
First Line	:	1511 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4006
Country	:	US
Telephone Number	:	210-433-2334
Fax Number	:	210-433-4572

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	MS. ROSAURA LUNA
Credential	:
Telephone Number	:	210-433-2334

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	01/07/2026

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