Organization
SAN ANTONIO METOPOLITAN HEALTHY START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JAUREGUI (ADMINISTRATIVE ASSISTANT I)
(210) 207-8749
Entity
Organization
Contact information
Practice address
332 W COMMERCE ST, SAN ANTONIO, TX 78205-2409
(210) 207-8749
(210) 207-6359
Mailing address
332 W COMMERCE ST, SAN ANTONIO, TX 78205-2409
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112818301
—
TX
Enumeration date
10/01/2009
Last updated
10/01/2009
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