# HEART MEDICAL GROUP, P.A.

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

## Provider details

- **NPI number:** 1497907166
- **Authorized official:** DR. LYUDMILA VASILIEVNA HARTT M.D. (CEO)
- **Authorized official phone:** (210) 317-4800

## Contact information

- **Practice address:** 19026 STONE OAK PKWY, \#205, SAN ANTONIO, TX 78258-3227
- **Practice address phone:** (210) 317-4800
- **Mailing address:** 1926 SLUMBER PASS, SAN ANTONIO, TX 78260-6235
- **Mailing address phone:** (210) 481-0090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | N0821 | TX | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 10/14/2008