Organization
ACCORD MEDICAL MANAGEMENT, LP
Active
Other names
Nix Health Care System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER SURROCK CPA (SENIOR VICE PRESIDENT AND CFO)
(210) 271-2190
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, STE 600, SAN ANTONIO, TX 78205-2541
(210) 271-2188
(210) 271-2023
Mailing address
414 NAVARRO ST, STE 600, SAN ANTONIO, TX 78205-2541
(210) 271-2188
(210) 271-2023
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004325024
AETNA
TX
01
—
HH0167
BLUE CROSS NUMBER
TX
Enumeration date
05/27/2005
Last updated
08/17/2018
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