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NPI Code Detail

MEDICARE: STUDENT HEALTH SERVICES

MEDICARE: STUDENT HEALTH SERVICES
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
1390200000XStudent in an Organized Health Care Education/Training ProgramH7845TX

General Provider Information

NPI Number : 1518385681
Entity Type Code : Organization
Provider Name (Legal Business Name) : STUDENT HEALTH SERVICES
Provider Business Mailing Address
First Line : 1 UTSA CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1644
Country : US
Telephone Number : 210-458-4135
Fax Number : 210-458-6410
Provider Business Practice Location Address
First Line : 1 UTSA CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1644
Country : US
Telephone Number : 210-458-4135
Fax Number : 210-458-6410
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. BETH WICHMAN
Credential : M.D.
Telephone Number : 210-458-4135
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

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Directions to “STUDENT HEALTH SERVICES ” Practice Location

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