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Organization
PETRA HEALTH, INC.
Active
Organization
PETRA HEALTH, INC.
Active
Other names
Total Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR MORTAZAVI (DIRECTOR)
(210) 495-5493
Entity
Organization
Contact information
Practice address
10010 SAN PEDRO AVE, STE 120, SAN ANTONIO, TX 78216-3862
(210) 495-5493
(210) 491-4331
Mailing address
10010 SAN PEDRO AVE, STE 120, SAN ANTONIO, TX 78216-3862
(210) 495-5493
(210) 491-4331
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013766
HOME HEALTH LICENSE
TX
Enumeration date
01/02/2006
Last updated
12/17/2012
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