MEDICARE: SAN SABA DOWNTOWN KIDNEY 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
1	261Q00000X	Clinic/Center	007233	TX

General Provider Information

NPI Number	:	1306893821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN SABA DOWNTOWN KIDNEY CENTER

Provider Business Mailing Address
First Line	:	315 N SAN SABA
Second Line	:	STE, 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3154
Country	:	US
Telephone Number	:	210-798-1955
Fax Number	:	210-798-5424

Provider Business Practice Location Address
First Line	:	315 N SAN SABA
Second Line	:	STE, 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3154
Country	:	US
Telephone Number	:	210-798-1955
Fax Number	:	210-798-5424

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MISS SHARON MURRAY
Credential	:
Telephone Number	:	210-798-1955

Provider Enumeration Date	:	05/29/2006
Last Update Date	:	08/22/2020

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