Organization
HOLY SAVIOR PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE M SMITH (CEO)
(210) 375-5914
Entity
Organization
Contact information
Practice address
3201 CHERRY RIDGE ST STE 205B, SAN ANTONIO, TX 78230-4832
(210) 375-5914
(210) 375-5919
Mailing address
3201 CHERRY RIDGE ST STE 205B, SAN ANTONIO, TX 78230-4832
(210) 375-5914
(210) 375-5919
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLYING
STATE LICENSE
TX
Enumeration date
05/23/2018
Last updated
05/23/2018
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