# CITY OF SHAVANO PARK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336139633
- **Authorized official:** BRENDA MOREY (FINANCE DIRECTOR)
- **Authorized official phone:** (210) 477-0960

## Contact information

- **Practice address:** 15604 NW MILITARY HWY, SHAVANO PARK, TX 78231-1537
- **Practice address phone:** (210) 492-1111
- **Practice address fax:** (210) 492-5884
- **Mailing address:** 15604 NW MILITARY HWY, SHAVANO PARK, TX 78231-1537
- **Mailing address phone:** (210) 492-1111
- **Mailing address fax:** (210) 492-5884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | 015108 | TX | — |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 09/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 171420601 | — | TX |
| 01 | — | AMB418 | MEDICARE PTAN | TX |