Organization
HEART MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYUDMILA VASILIEVNA HARTT M.D. (CEO)
(210) 317-4800
Entity
Organization
Contact information
Practice address
19026 STONE OAK PKWY, #205, SAN ANTONIO, TX 78258-3227
(210) 317-4800
Mailing address
1926 SLUMBER PASS, SAN ANTONIO, TX 78260-6235
(210) 481-0090
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
N0821
TX
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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