# REGENERATIVE CLINICS OF SAN ANTONIO

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

## Provider details

- **NPI number:** 1548728645
- **Authorized official:** JESSE SAUCEDO (OWNER)
- **Authorized official phone:** (210) 837-5159

## Contact information

- **Practice address:** 2115 PLEASANTON RD STE 203, SAN ANTONIO, TX 78221-1300
- **Practice address phone:** (210) 837-5159
- **Practice address fax:** (210) 579-6647
- **Mailing address:** 2115 PLEASANTON RD STE 203, SAN ANTONIO, TX 78221-1300
- **Mailing address phone:** (210) 837-5159
- **Mailing address fax:** (210) 579-6647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 03/07/2019