MEDICARE: THE MEDICAL TEAM, INC.

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	251E00000X	Home Health Agency	547491	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	457491	OTHER	TX	MEDICARE AND NON-MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1205043882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MEDICAL TEAM, INC.

Provider Business Mailing Address
First Line	:	45 NE LOOP 410 STE 800
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5837
Country	:	US
Telephone Number	:	210-227-9000
Fax Number	:	985-872-3263

Provider Business Practice Location Address
First Line	:	45 NE LOOP 410 STE 800
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5837
Country	:	US
Telephone Number	:	210-227-9000
Fax Number	:	210-224-2020

Authorized Official
Title or Position	:	CORPORATE AR MANAGER
Name	:	ANGIE HARRIS
Credential	:
Telephone Number	:	21-022-7900

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/18/2022

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Directions to “THE MEDICAL TEAM, INC. ” Practice Location

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