MEDICARE: ST. JOHN PARTNERSHIP LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	008276	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043468937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. JOHN PARTNERSHIP LTD

Provider Business Mailing Address
First Line	:	1983 OAKWELL FARMS PKWY
Second Line	:	SUITE 704
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-1724
Country	:	US
Telephone Number	:	210-563-4546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1983 OAKWELL FARMS PKWY
Second Line	:	SUITE 704
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-1724
Country	:	US
Telephone Number	:	210-563-4546
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. ARTHUR MINGUEZ JR.
Credential	:	MBA
Telephone Number	:	210-563-4546

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	09/04/2008

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Directions to “ST. JOHN PARTNERSHIP LTD ” Practice Location

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