Organization
NORTHBRIDGE MEDICAL 1 DBA
Active
Other names
Texas Care Pecan Valley
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB BISHOP (OWNER)
(210) 251-4846
Entity
Organization
Contact information
Practice address
4025 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3641
(210) 251-4846
Mailing address
4025 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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