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Organization
VALLECARE, L.L.C.
Active
Organization
VALLECARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C HALSTEAD JR. (V.P., OPERATIONS)
(210) 520-1723
Entity
Organization
Contact information
Practice address
9793 CULEBRA RD, SUITE 101, SAN ANTONIO, TX 78251-3749
(210) 520-1723
(210) 520-1724
Mailing address
PO BOX 681271, SAN ANTONIO, TX 78268-1271
(210) 520-1723
(210) 520-1724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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