Organization
PECAN VALLEY SCC LLC
Active
Other names
SCC at Pecan Valley Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 581-6994
(210) 572-6994
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027034
—
TX
01
—
5574/104259
VENDOR ID/FACILITY ID
TX
Enumeration date
05/22/2015
Last updated
03/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us