Healthcare Provider Details
I. General information
NPI: 1255602397
Provider Name (Legal Business Name): DBS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2012
Last Update Date: 06/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9502 COMPUTER DR SUITE 200A
SAN ANTONIO TX
78229-2382
US
IV. Provider business mailing address
9502 COMPUTER DR SUITE 200A
SAN ANTONIO TX
78229-2382
US
V. Phone/Fax
- Phone: 210-616-0245
- Fax: 210-690-4607
- Phone: 210-616-0245
- Fax: 210-690-4607
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
BRADLEY
BURDIN
Title or Position: FAMILY NURSE PRACTITIONER
Credential: R.N,,M.S.N.,N.P.-C.
Phone: 210-616-0245