Organization
RIVER CITY NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MATHIS (OFFICE MANAGER)
(210) 525-1668
Entity
Organization
Contact information
Practice address
8715 VILLAGE DR, SUITE 500, SAN ANTONIO, TX 78217-5405
(210) 490-5547
(210) 490-1931
Mailing address
8715 VILLAGE DR, SUITE 500, SAN ANTONIO, TX 78217-5405
(210) 525-1668
(210) 490-1931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z002
MEDICARE PTAN
TX
Enumeration date
08/05/2007
Last updated
06/19/2008
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