MEDICARE: SATMED 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1699938050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATMED INC

Provider Business Mailing Address
First Line	:	PO BOX 2130
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148-1130
Country	:	US
Telephone Number	:	210-659-0323
Fax Number	:	210-659-7668

Provider Business Practice Location Address
First Line	:	2318 PAT BOOKER RD
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148-3229
Country	:	US
Telephone Number	:	210-659-0323
Fax Number	:	210-659-7668

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JAMES DENNIS RUSSELL
Credential	:	PA
Telephone Number	:	210-659-0323

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/07/2008

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Directions to “SATMED INC ” Practice Location

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