Healthcare Provider Details

I. General information

NPI: 1023456514
Provider Name (Legal Business Name): THSTX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9706 PLYMOUTH RD SUITE 400
SAN ANTONIO TX
78216-4621
US

IV. Provider business mailing address

9706 PLYMOUTH RD SUITE 400
SAN ANTONIO TX
78216-4621
US

V. Phone/Fax

Practice location:
  • Phone: 210-249-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID A SHIELDS
Title or Position: CEO
Credential:
Phone: 210-365-8611