Healthcare Provider Details

I. General information

NPI: 1649382367
Provider Name (Legal Business Name): ALL CASE MANAGEMENT AND SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5570 KISSING OAK ST
SAN ANTONIO TX
78247-1510
US

IV. Provider business mailing address

PO BOX 40362
SAN ANTONIO TX
78229-1362
US

V. Phone/Fax

Practice location:
  • Phone: 210-535-9427
  • Fax: 210-657-3876
Mailing address:
  • Phone: 210-535-9427
  • Fax: 210-657-3876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number39070
License Number StateTX

VIII. Authorized Official

Name: MRS. NORMA T. LOPEZ
Title or Position: SOCIAL WORKER/OWNER
Credential: LMSW
Phone: 210-535-9427