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NPI Code Detail

MEDICARE: SAN ANTONIO VAMC

MEDICARE: SAN ANTONIO VAMC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1083899157
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN ANTONIO VAMC
Provider Business Mailing Address
First Line : PO BOX 94546
Second Line :
City : CLEVELAND
State : OH
Zip : 44101
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 17440 HENDERSON PASS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1662
Country : US
Telephone Number : 615-355-3451
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 01/08/2008
Last Update Date : 09/27/2017

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Directions to “SAN ANTONIO VAMC ” Practice Location

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