Organization
PHYSICIANS HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE D LONGORIA (OWNER)
(210) 804-0022
Entity
Organization
Contact information
Practice address
303 E QUINCY ST, SUITE #104, SAN ANTONIO, TX 78215-1918
(210) 804-0022
(210) 804-0028
Mailing address
303 E QUINCY ST, SUITE #104, SAN ANTONIO, TX 78215-1918
(210) 804-0022
(210) 804-0028
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
305S00000X
Point of Service
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/03/2009
Last updated
01/28/2014
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