Healthcare Provider Details

I. General information

NPI: 1659401701
Provider Name (Legal Business Name): FAMILYPHYSICIANS HEALTHCARENETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13909 NACOGDOCHES RD 107
SAN ANTONIO TX
78217-1299
US

IV. Provider business mailing address

13909 NACOGDOCHES RD 107
SAN ANTONIO TX
78217-1299
US

V. Phone/Fax

Practice location:
  • Phone: 210-646-0404
  • Fax: 210-653-3896
Mailing address:
  • Phone: 210-646-0404
  • Fax: 210-653-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BELINDA R PADILLA
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 210-646-0404