Healthcare Provider Details

I. General information

NPI: 1639214521
Provider Name (Legal Business Name): ALL-TEX HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6618 FONTANA PT
SAN ANTONIO TX
78240-3093
US

IV. Provider business mailing address

4910 GOLDEN QUAIL STE 170
SAN ANTONIO TX
78240-1770
US

V. Phone/Fax

Practice location:
  • Phone: 210-541-0131
  • Fax: 210-541-0227
Mailing address:
  • Phone: 210-541-0131
  • Fax: 210-541-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number006794
License Number StateTX

VIII. Authorized Official

Name: MRS. SYLVIA C MONTEZ
Title or Position: PRESIDENT/CFO
Credential:
Phone: 210-541-0131