Organization
ALTA VISTA HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL BOHART (COOWNER)
(210) 822-6323
Entity
Organization
Contact information
Practice address
1123 N MAIN AVE, SUITE 100, SAN ANTONIO, TX 78212-4740
(210) 822-6323
(210) 822-6356
Mailing address
PO BOX 600324, DALLAS, TX 75360-0324
(210) 822-6323
(210) 822-6356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15980
TX
225100000X
Physical Therapist
Primary
1038107
TX
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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