MEDICARE: DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1528111374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO

Provider Business Mailing Address
First Line	:	7607 SOMERSET RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-3752
Country	:	US
Telephone Number	:	210-334-2300
Fax Number	:	210-922-0332

Provider Business Practice Location Address
First Line	:	19780 S US HIGHWAY 281
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-9731
Country	:	US
Telephone Number	:	210-626-0635
Fax Number	:	210-626-0636

Authorized Official
Title or Position	:	DIRECTOR OF INTEGRATED SERVICES
Name	:	MR. WAYNE RICHARD CADENA
Credential	:
Telephone Number	:	210-626-0609

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	06/09/2026

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