Healthcare Provider Details
I. General information
NPI: 1134255508
Provider Name (Legal Business Name): CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9011 POTEET JOURDANTON FWY
SAN ANTONIO TX
78224-2124
US
IV. Provider business mailing address
332 W COMMERCE ST
SAN ANTONIO TX
78205-2409
US
V. Phone/Fax
- Phone: 210-924-9031
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
FLORES
Title or Position: ACCOUNTANT II
Credential:
Phone: 210-207-8803