Organization
SOUTH TEXAS HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (VP BOARD OF DIRECTORS)
(713) 277-2208
Entity
Organization
Contact information
Practice address
315 N SAN SABA, SUITE 1195, SAN ANTONIO, TX 78207-3154
(210) 886-8340
(210) 886-8344
Mailing address
1700 WEST LOOP SOUTH, STE 400B, HOUSTON, TX 77027-3005
(713) 277-2700
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
05/04/2010
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