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Organization
INTREPID OF SAN ANTONIO INC
Active
Organization
INTREPID OF SAN ANTONIO INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECELIA CALLIS (VICE PRESIDENT OF COMPLIANCE)
(214) 445-3750
Entity
Organization
Contact information
Practice address
8632 FREDERICKSBURG, STE 209, SAN ANTONIO, TX 78240
(210) 408-0070
(210) 408-0071
Mailing address
4055 VALLEY VIEW LN, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024610001
—
TX
Enumeration date
11/18/2005
Last updated
10/27/2009
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