=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518634864
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VHS SAN ANTONIO PARTNERS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2021
-----------------------------------------------------
Last Update Date | 03/23/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3333 RESEARCH PLZ
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78235-5154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-297-3600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3333 RESEARCH PLZ
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78235-5154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-297-3600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | DANIEL SALAZAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-297-4919
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------