# MISSION CITY HEALTHCARE, PA

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

## Provider details

- **NPI number:** 1417363276
- **Authorized official:** ZACH SYVRUD (MANAGER)
- **Authorized official phone:** (210) 315-1582

## Contact information

- **Practice address:** 815 E RECTOR ST, SUITE 105, SAN ANTONIO, TX 78216-5931
- **Practice address phone:** (210) 366-9442
- **Mailing address:** PO BOX 472561, GARLAND, TX 75047-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 12285 | TX | — |
| 208D00000X | General Practice Physician | F2412 | TX | Yes |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 07/01/2014
