MEDICARE: CATHERINE DENISE CALLAHAN CTRS

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	225800000X	Recreation Therapist	58180	TX

General Provider Information

NPI Number	:	1598345316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE DENISE CALLAHAN CTRS

Provider Business Mailing Address
First Line	:	6170 BORDER TRAIL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5906
Country	:	US
Telephone Number	:	210-421-1460
Fax Number	:

Provider Business Practice Location Address
First Line	:	2484 GARDEN AVE STE 5022
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-7802
Country	:	US
Telephone Number	:	210-539-1099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	02/08/2026

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