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NPI Code Detail

MEDICARE: CITY OF SAN ANTONIO TEXAS

MEDICARE: CITY OF SAN ANTONIO TEXAS
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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1639808363
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF SAN ANTONIO TEXAS
Provider Business Mailing Address
First Line : PO BOX 839966
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78283-3966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 515 CASTROVILLE RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3131
Country : US
Telephone Number : 210-207-8802
Fax Number :
Authorized Official
Title or Position : BILLING AND CODING SPECIALIST
Name : TIFFANY HAYNES
Credential :
Telephone Number : 210-207-8689
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/15/2022

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Directions to “CITY OF SAN ANTONIO TEXAS ” Practice Location

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