Organization
K.A.D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERCEDES M. HYSAW B.A (OWNER DIRECTOR)
(210) 797-8812
Entity
Organization
Contact information
Practice address
5540 OLD SEGUIN ROAD, SAN ANTONIO, TX 78219-1043
(210) 797-8812
(210) 310-1602
Mailing address
5540 OLD SEGUIN ROAD, SAN ANTONIO, TX 78219-1043
(210) 797-8812
(210) 310-1602
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
010166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
TX
Enumeration date
05/04/2007
Last updated
08/22/2020
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