Healthcare Provider Details

I. General information

NPI: 1760476543
Provider Name (Legal Business Name): SOUTHWEST CARE ASSOCIATES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 LEAHY ST
SAN ANTONIO TX
78221-1047
US

IV. Provider business mailing address

PO BOX 12322
KNOXVILLE TN
37912-0322
US

V. Phone/Fax

Practice location:
  • Phone: 210-922-2761
  • Fax: 210-922-9401
Mailing address:
  • Phone: 865-938-4101
  • Fax: 865-938-7230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number111756
License Number StateTX

VIII. Authorized Official

Name: DELORES SMITH
Title or Position: SEC'Y/TREAS UFM INC--GEN PTR
Credential:
Phone: 865-938-4101