Healthcare Provider Details

I. General information

NPI: 1407984024
Provider Name (Legal Business Name): SEVEN OAKS WOMEN'S CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7711 LOUIS PASTEUR DR SUITE 200
SAN ANTONIO TX
78229-3415
US

IV. Provider business mailing address

PO BOX 40129
SAN ANTONIO TX
78229-1129
US

V. Phone/Fax

Practice location:
  • Phone: 210-692-9500
  • Fax: 210-616-9300
Mailing address:
  • Phone: 210-692-9500
  • Fax: 210-616-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberG4937
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG4937
License Number StateTX

VIII. Authorized Official

Name: MRS. ISIDRA VARGAS
Title or Position: BILLING MANAGER
Credential:
Phone: 210-692-9500