Organization
SOUTH TEXAS HEALTH ALLIANCE
Active
Organization
SOUTH TEXAS HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (VICE PRESIDENT BOARD OF DIRECTORS)
(713) 277-2208
Entity
Organization
Contact information
Practice address
528 NORTH UNION STREET, SUITE 250, NEW BRAUNFELS, TX 78130
(210) 886-8340
(210) 886-8344
Mailing address
1700 WEST LOOP S STE 400B, HOUSTON, TX 77027-3015
(713) 277-2700
(713) 277-2227
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2009
Last updated
05/05/2010
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