# UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UT Health KSP DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407612518
- **Authorized official:** ANDREA MONIQUE MARKS M.B.A., C.P.A. (VICE PRESIDENT FOR BUSINESS AFFAIRS)
- **Authorized official phone:** (210) 450-9000

## Contact information

- **Practice address:** 7946 N. LOOP 1604 WEST, 1ST FLOOR RM 131, SAN ANTONIO, TX 78249
- **Practice address phone:** (210) 567-9040
- **Mailing address:** 7946 N. LOOP 1604 WEST, 1ST FLOOR RM 131, SAN ANTONIO, TX 78249
- **Mailing address phone:** (210) 567-9040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 05/03/2024