Organization
CITY OF SAN ANTONIO TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HAYNES (BILLING AND CODING SPECIALIST)
(210) 207-8689
Entity
Organization
Contact information
Practice address
512 E HIGHLAND BLVD # 150, SAN ANTONIO, TX 78210-3521
(210) 207-8830
(210) 207-8999
Mailing address
100 W HOUSTON ST FL 14, SAN ANTONIO, TX 78205-1414
(210) 207-8689
(210) 207-8999
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082426001
—
TX
05
—
082426002
—
TX
Enumeration date
11/21/2006
Last updated
01/03/2023
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