Organization
ENERGY CITY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA L RODRIGUEZ (OWNER)
(210) 262-0328
Entity
Organization
Contact information
Practice address
9330 VALLEY GATE, SAN ANTONIO, TX 78250-5773
(210) 262-0328
Mailing address
9330 VALLEY GATE, SAN ANTONIO, TX 78250-5773
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
Q0165
TX
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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