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NPI Code Detail

MEDICARE: SAN ANTONIO CAREER CENTER

MEDICARE: SAN ANTONIO CAREER CENTER
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
1253Z00000XIn Home Supportive Care Agency
2261QA0600XAdult Day Care Clinic/Center
3347C00000XPrivate Vehicle
4347E00000XTransportation Broker
5343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1447011986
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN ANTONIO CAREER CENTER
Provider Business Mailing Address
First Line : 805 CAMELIA CT
Second Line :
City : DESOTO
State : TX
Zip : 75115-1510
Country : US
Telephone Number : 817-829-3921
Fax Number :
Provider Business Practice Location Address
First Line : 3000 E HOUSTON ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78219-3713
Country : US
Telephone Number : 817-829-3921
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : BETTINA ROGERS-MALLETT
Credential :
Telephone Number : 817-829-3921
Provider Enumeration Date : 01/22/2024
Last Update Date : 02/14/2024

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Directions to “SAN ANTONIO CAREER CENTER ” Practice Location

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