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NPI Code Detail

MEDICARE: EXCEL MINISTRIES' PROGRESSIVE WOMEN'S CENTER

MEDICARE: EXCEL MINISTRIES' PROGRESSIVE WOMEN'S CENTER
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
1104100000XSocial Worker55096TX
2101Y00000XCounselor55096TX

General Provider Information

NPI Number : 1306103007
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL MINISTRIES' PROGRESSIVE WOMEN'S CENTER
Provider Business Mailing Address
First Line : 8930 FOURWINDS DR
Second Line : STE. 251
City : WINDCREST
State : TX
Zip : 78239-1970
Country : US
Telephone Number : 210-338-6580
Fax Number :
Provider Business Practice Location Address
First Line : 8930 FOURWINDS DR
Second Line : STE. 251
City : WINDCREST
State : TX
Zip : 78239-1970
Country : US
Telephone Number : 210-338-6580
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. WILLIE AL GLASTER JR.
Credential : CBCB
Telephone Number : 210-338-6580
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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Directions to “EXCEL MINISTRIES' PROGRESSIVE WOMEN'S CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.