Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Other names
Texas Center for Infectious Disease
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR C BALTIERRA (TEAM LEAD)
(512) 206-5011
Entity
Organization
Contact information
Practice address
2303 SE MILITARY DR, SAN ANTONIO, TX 78223-3542
(210) 531-7809
(210) 531-7796
Mailing address
4110 GUADALUPE ST, HOSPITAL REVENUE MGMT-MC2028, AUSTIN, TX 78751-4223
(512) 206-5011
(512) 206-5302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332579-04
—
TX
01
—
HH4568
BCBS
TX
Enumeration date
12/19/2006
Last updated
08/09/2016
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