Organization
SANTA MARIA MEDICAL GROUP, INC.DBA/ST. MARY'S PHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CANELA (ADMINISTRATOR)
(210) 389-5935
Entity
Organization
Contact information
Practice address
1003 FAIR AVE, SUITE A, SAN ANTONIO, TX 78223-1327
(210) 389-5935
Mailing address
1003 FAIR AVE, SUITE A, SAN ANTONIO, TX 78223-1327
(210) 389-5935
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
015881
TX
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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