# SA PERINATAL PLLC

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

## Provider details

- **NPI number:** 1376344903
- **Authorized official:** CHRIS MATHIS (MANAGER)
- **Authorized official phone:** (210) 525-1668

## Contact information

- **Practice address:** 12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
- **Practice address phone:** (210) 525-1668
- **Mailing address:** 12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
- **Mailing address phone:** (210) 525-1668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2025
- **Last updated:** 03/20/2025