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NPI Code Detail

MEDICARE: REGENT CARE CENTER OF SAN ANTONIO, LP

MEDICARE: REGENT CARE CENTER OF SAN ANTONIO, LP
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
1314000000XSkilled Nursing Facility111317TX

Other Identifiers

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

General Provider Information

NPI Number : 1306953344
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGENT CARE CENTER OF SAN ANTONIO, LP
Provider Business Mailing Address
First Line : 2302 POST OFFICE ST
Second Line : SUITE 402
City : GALVESTON
State : TX
Zip : 77550-1913
Country : US
Telephone Number : 409-763-6000
Fax Number : 409-770-0233
Provider Business Practice Location Address
First Line : 16400 BLANCO RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1902
Country : US
Telephone Number : 210-408-1212
Fax Number : 210-408-0486
Authorized Official
Title or Position : CFO
Name : MS. CAROL J. OSTERMAYER
Credential : CPA
Telephone Number : 409-763-6000
Provider Enumeration Date : 08/24/2006
Last Update Date : 11/03/2008

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Directions to “REGENT CARE CENTER OF SAN ANTONIO, LP ” Practice Location

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