Organization
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA LYNN DETTY (SR DIRECTOR, MED STAFF SERVICE)
(210) 450-4736
Entity
Organization
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3985
(210) 358-5942
Mailing address
8431 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3392
(210) 450-4621
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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