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NPI Code Detail

MEDICARE: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP

MEDICARE: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
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
1261QR0206XMammography Clinic/Center

General Provider Information

NPI Number : 1144154295
Entity Type Code : Organization
Provider Name (Legal Business Name) : METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
Provider Business Mailing Address
First Line : 808 REUBEN ST
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624-4436
Country : US
Telephone Number : 830-997-4353
Fax Number :
Provider Business Practice Location Address
First Line : 808 REUBEN ST
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624-4436
Country : US
Telephone Number : 830-997-4353
Fax Number :
Authorized Official
Title or Position : CFO
Name : JUSTIN DAVIS
Credential :
Telephone Number : 830-997-7138
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP ” Practice Location

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