Organization
SOUTH TEXAS BLOOD & TISSUE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LOPEZ (SENIOR DIRECTOR OF ACCOUNTING)
(210) 731-5555
Entity
Organization
Contact information
Practice address
6211 IH 10 W, SAN ANTONIO, TX 78201-2023
(210) 731-5555
(210) 731-5518
Mailing address
6211 IH 10 W, SAN ANTONIO, TX 78201-2023
(210) 731-5555
(210) 731-5518
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0028277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D0500519
MEDICARE CLIA ID #
TX
01
—
CL0479
MEDICARE PROVIDER #
TX
Enumeration date
06/26/2008
Last updated
09/27/2022
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