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NPI Code Detail

MEDICARE: MAVERICK COUNTY HOSPITAL DISTRICT

MEDICARE: MAVERICK COUNTY HOSPITAL DISTRICT
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1063144996
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAVERICK COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 636 CUPPLES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-4328
Country : US
Telephone Number : 210-829-7561
Fax Number :
Provider Business Practice Location Address
First Line : 636 CUPPLES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-4328
Country : US
Telephone Number : 801-601-1450
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALMA MARTINEZ
Credential :
Telephone Number : 830-757-4939
Provider Enumeration Date : 06/29/2022
Last Update Date : 07/18/2022

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Directions to “MAVERICK COUNTY HOSPITAL DISTRICT ” Practice Location

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