Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
San Antonio State Supported Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSINER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
6711 S NEW BRAUNFELS AVE, STE 500, SAN ANTONIO, TX 78223-3004
(210) 532-9610
(210) 531-3877
Mailing address
6711 S NEW BRAUNFELS AVE, STE 500, SAN ANTONIO, TX 78223-3004
(210) 532-9610
(210) 531-3877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
207W00000X
Ophthalmology Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000711401
—
TX
Enumeration date
11/03/2006
Last updated
02/05/2018
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