Healthcare Provider Details
I. General information
NPI: 1194079673
Provider Name (Legal Business Name): TOTS N TEENS PEDIATRIC URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2012
Last Update Date: 12/05/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11019 CULEBRA ROAD SUITE 155
SAN ANTONIO TX
78253
US
IV. Provider business mailing address
11019 CULEBRA ROAD SUITE 155
SAN ANTONIO TX
78253
US
V. Phone/Fax
- Phone: 210-267-5411
- Fax:
- Phone: 210-267-5411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAJMUL
SALMAN
Title or Position: OWNER
Credential: MBA
Phone: 210-267-5411