Healthcare Provider Details
I. General information
NPI: 1285827543
Provider Name (Legal Business Name): CENTER FOR MATERNAL-FETAL CARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7909 FREDERICKSBURG RD SUITE 227
SAN ANTONIO TX
78229-3425
US
IV. Provider business mailing address
7909 FREDERICKSBURG RD SUITE 227
SAN ANTONIO TX
78229-3425
US
V. Phone/Fax
- Phone: 210-354-2229
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KENNETH
HIGBY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-354-2229