MEDICARE: NOVA HEALTH SYSTEMS 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	261QA0005X	Ambulatory Family Planning Facility	7274	TX

General Provider Information

NPI Number	:	1528279015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA HEALTH SYSTEMS INC

Provider Business Mailing Address
First Line	:	215 W OLMES DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212
Country	:	US
Telephone Number	:	210-824-9939
Fax Number	:	210-824-6229

Provider Business Practice Location Address
First Line	:	4804 GROVER AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756
Country	:	US
Telephone Number	:	512-458-8244
Fax Number	:	512-458-9769

Authorized Official
Title or Position	:	TREASURER CFO
Name	:	DAVID E GASKINS
Credential	:
Telephone Number	:	210-824-9939

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2020

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