Organization
MY MEDICAL NETWORK HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINA TREVINO (MEMBER)
(210) 422-2336
Entity
Organization
Contact information
Practice address
505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 422-2336
Mailing address
507 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 422-2336
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
J8805
TX
Other
Enumeration date
02/11/2015
Last updated
02/19/2015
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