| |
6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 | |
(210) 532-9610 | |
(210) 531-3877 |
Full Name | |
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Speciality | Intermediate Care Facility, Intellectual Disabilities |
Location | 6711 S New Braunfels Ave, San Antonio, Texas |
Authorized Official Name and Position | Scott Schalchlin (ASSOCIATE COMMISSINER) |
Authorized Official Contact | 5124383076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 Ph: (210) 532-9610 | 6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 Ph: (210) 532-9610 |
NPI Number | 1093894859 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 02/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093894859 | NPI | - | NPPES |
000711401 | Medicaid | TX |
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