Organization
SOUTH TEXAS VETERANS HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP A. GROTA LCSW (SUPERVISOR, SOCIAL WORK SERVICE)
(210) 617-5300
Entity
Organization
Contact information
Practice address
112 DOVE MOUNTAIN DR, BOERNE, TX 78006-7868
(830) 537-4088
Mailing address
7400 MERTON MINTER BOULEVARD, SAN ANTONIO, TX 78229
(210) 617-5300
(210) 949-3326
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00341
SOCIAL WORK LICENSE
TX
Enumeration date
09/11/2006
Last updated
07/21/2022
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