Healthcare Provider Details

I. General information

NPI: 1528057346
Provider Name (Legal Business Name): FOUNDATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 DATAPOINT DR
SAN ANTONIO TX
78229-2028
US

IV. Provider business mailing address

9600 DATAPOINT DR
SAN ANTONIO TX
78229-2028
US

V. Phone/Fax

Practice location:
  • Phone: 830-997-1327
  • Fax: 830-997-0856
Mailing address:
  • Phone: 830-997-1327
  • Fax: 830-997-0856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT RUPNOW
Title or Position: CEO
Credential:
Phone: 210-892-3707